On a newly discovered pressure ulcer, the nurse should document which of the following (select all that apply)?
1. Precise measurement
2. Location of wound and description
3. Color
4. Amount and characteristics of drainage
5. Treatments and dressing application
1, 2, 3, 4, 5
All the options should be included—precise documentation of location, color, size, shape, drainage, and treatment applications.
COMPLETION
You might also like to view...
A 71-year-old patient is manifesting signs and symptoms of gout. When assessing him for signs and symptoms of gout, the nurse should pay particular attention to
a. dietary intake of foods high in cholesterol. b. mobility in the hip and knee joints. c. edema or discoloration of the great toe. d. a history of trauma or occupational injury.
When a patient is first diagnosed with a disease, education should start with which of the following?
a. Describing what has gone wrong and what is likely to happen b. Determining why the problem took so long to develop c. Deciding who caused this problem d. Discussing what the patient should have done differently
A nursing student is caring for a patient scheduled for a mastectomy
When the nursing instructor asks the student to name the muscles supporting the breast, which response/s by the student would suggest that further study is needed? Select all that apply. a. Vastus lateralis d. Rectus abdominus b. Serratus anterior e. Axillary tail of Spence c. Latissimus dorsi f. Pectoralis major and minor
The nurse is teaching parents of a bottle-fed preterm infant techniques to facilitate feeding. Which techniques should the nurse include? (Select all that apply.)
a. Choose a soft nipple. b. Avoid arousing the infant. c. Recognize the infant's limits. d. Prepare a calm, quiet area for the feeding. e. Ensure a restful environment between feedings.