A patient hospitalized in a long-term rehabilitation facility is immobile and requires mechanical ventilation with a tracheostomy. She has a pressure area on her coccyx measuring 5 cm by 3 cm. The area is covered with 100% eschar
What would the nurse identify this as?
a. Stage II pressure ulcer
b. Stage III pressure ulcer
c. Stage IV pressure ulcer
d. Unstageable pressure ulcer
D
An eschar is a black, leathery covering made up of necrotic tissue. An ulcer covered in eschar cannot be classified using a staging method because it is impossible to determine the depth.
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Calculate the decimal number and smallest reduced fraction for 65%
1. 0.35; 7/20 2. 0.45; 9/20 3. 0.55; 11/20 4. 0.65; 13/20
An ICU client who was in a motor vehicle accident 1 day ago is developing a worsening respiratory status
The nurse is aware that the client's chest has bruising on it from hitting the steering wheel, and the health care provider has diagnosed the client with lung contusions. As the client develops increased respiratory distress, the nurse recognizes that the only difference between acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) is: 1. ARDS and ALI differ only in the amount of hypoxemia. 2. ARDS clients will have a lower respiratory rate than ALI clients. 3. ALI clients have fewer injuries than ARDS clients. 4. ALI clients have more inflammation than ARDS clients.
Before administering an antacid, the nurse should instruct a client that this medication works in the:
1. blood. 2. stomach. 3. small intestine. 4. esophagus.
An obstetric multipara with triplets is placed on bed rest at 24 weeks' gestation. Her perinatologist is managing intrauterine growth restriction with serial ultrasounds. This prescribed treatment is an example of which type of care?
a. Antenatal diagnostics b. Primary prevention c. Secondary prevention d. Collaborative intervention