The patient is admitted with an open pressure ulcer with necrotic tissue around the base of the wound. How would the nurse classify this ulcer?
a. Stage III pressure ulcer
b. Stage IV pressure ulcer
c. Wound that cannot be staged
d. Stage II pressure ulcer
C
To correctly stage a pressure ulcer, the nurse must be able to see the base of the wound. Therefore, pressure ulcers that are covered with necrotic tissue cannot be staged until the eschar has been debrided and the base of the wound is visible. Until debridement occurs, the ulcer should be documented as unstageable.
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A patient is preparing to undergo magnetic resonance imaging for possible diagnosis of cerebral infarction. What is the nursing priority in preparing the patient for this diagnostic study?
A) Checking the patient's history for renal insufficiency, which could complicate use of a contrast medium. B) Confirming that the patient does not have any ferrous surgical clips or implants. C) Determining whether the patient is on anticoagulant therapy, which would be a contraindication. D) Preparing an 18-gauge needle for insertion.
In the 19th century, what factors did practitioners who accepted the theory that mental illness was an excess or deficit in excitability see as contributing to mental illness? Select all that apply
1. Education 2. Urban life 3. Intemperance 4. Cerebral hyperemia 5. Demonic possession
Which of the following are key issues related to health literacy? Select all that apply
A) Health literacy is characterized as critical to health promotion and disease prevention. B) Limited health literacy only affects those who have low educational levels. C) Poor health literacy skills can contribute to increased health care costs. D) Health literacy involves the ability to read, understand, and act on health information. E) Health literacy goes beyond the basic definitions of literacy.
When using an admission, discharge, and transfer (ADT) system, which of the following would a nurse be least likely to find?
A) Patient demographics B) Insurance information C) Supplies used D) Next of kin