A patient with diabetes presents with an ulcer on the end of the great toe. Assessment reveals gangrene extending to the base of the toe
The nurse would evaluate this ulcer as matching criteria for grade ____ on the Wagner Ulcer Grade Classification System. Fill in the blank(s) with correct word
4
Rationale : Because there is gangrene in a portion of the forefoot, the ulcer is grade 4. If gangrene extended to involve more of the foot, the grade would be 5.
You might also like to view...
The licensed practical nurse is setting up the room for a client arriving at the emergency department with ventricular arrhythmias. The nurse is most correct to place which of the following in the room for treatment?
A) A suction machine B) A defibrillator C) Cardioversion equipment D) An ECG machine
The nurse assists a surgeon with central venous catheter insertion. Which action is necessary to help maintain sterile technique?
a. Closing the patient's door to limit room traffic while preparing the sterile field b. Using clean procedure gloves to handle sterile equipment c. Placing the nonsterile syringes containing flush solution on the sterile field d. Remaining 6 inches away from the sterile field during the procedure
A client with severe hearing loss has the nursing diagnosis: Ineffective Coping related to recent hearing loss. The nurse would assess that goals for this diagnosis have been met when the client (Select all that apply)
a. engages in more activities within the community. b. is willing to role-play informing others about the hearing loss. c. self-refers to a university hospital audiology clinic. d. stores the new hearing aid properly when not in use.
The nurse is admitting a client who reports he has had chest pain, nausea, and vomiting off and on for the last 4 days. He decided to come to the hospital because he thought he had the flu
Which laboratory tests will provide information about acute cardiac damage for this client? 1. Troponin I and T 2. Red blood cells 3. CPK-MB 4. Homocysteine and platelets