The home care nurse is teaching a family how to describe a pressure ulcer to health-care providers using colors. What color would describe a pressure ulcer with eschar?

a. Black
b. Gray
c. Yellow
d. Red


ANS: A
Pressure ulcers may be described according to a three-color system. Black wounds indicate necrosis. Yellow wounds have exudate and are infected. Red wounds are pink or red and are in the healing stage. Eschar is a black or brown hard scab or dry crust that forms from necrotic tissue.

Nursing

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A patient is administered medications for the treatment of a rapid dysrhythmia. What is the mechanism of action for these medications?

A) Reducing automaticity B) Increasing conduction C) Repolarizing myocardial cells D) Reducing refractory period

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A nurse is working with a cultural group that has many proscriptions against women seeking health care. What action by women in this community would indicate that they have successfully negotiated a new role in seeking care?

A. Are able to make and keep medical appointments B. Can afford to pay for desired health-care services C. Follow their traditional roles and responsibilities D. Seek health-care advice from family members

Nursing

Following an arthrocentesis of the right knee in the physician's office, the nurse should give which instructions to the client?

1. Begin ROM exercises to the knee in 24 hours. 2. Remove the pressure dressing when you get home. 3. Apply warm, moist heat as needed for pain relief. 4. Limit use of the joint for 2-3 days.

Nursing

When providing initial assessment to a client who has suffered an electrical burn, which assessment finding will provide the most important data?

A) Size of burn B) Location of entry and exit wounds C) Level of pain D) Amount of fluid replaced

Nursing