A nurse is performing a baseline assessment of a client's skin integrity. What is the priority assessment parameter?
a) Family history of pressure ulcers
b) Presence of pressure ulcers on the client
c) Potential areas of pressure ulcer development
d) Overall risk of developing pressure ulcers
Ans: d) Overall risk of developing pressure ulcers
You might also like to view...
An infant has been diagnosed with cradle cap. What is the correct intervention to treat the scalp?
a. Alcohol b. Mineral oil c. Calamine d. A&D ointment
You are preparing immunizations for a 12-month-old child who is immunocompromised. Which immunization cannot be given?
a. DTaP b. HepA c. IPV d. Varicella
Early clinical manifestations of bilirubin encephalopathy in the newborn include:
a. mental retardation. b. absence of stooling. c. lethargy or irritability. d. increased or decreased temperature.
The nurse is testing a patient's peripheral visual ability. What technique should the nurse use?
a. Cover test b. Visual fields c. Corneal light reflex test d. Six cardinal fields of gaze