According to the STAR skin tear classification system, a category 1b skin tear is:
a. a skin tear where the edges can be realigned to thenormal anatomical position and the skin or flapcolour is pale, dusky or darkened
b. a skin tear where the edges cannot be realigned tothe normal anatomical position and the skin orflap colour is not pale, dusky or darkened.
c. a skin tear where the edges cannot be realigned to
the normal anatomical position and the skin or
flap colour is pale, dusky or darkened.
d. a skin tear where the skin flap is completely
absent.
a
The STAR skin tear classification system, based on consensus from Australian wound nurse experts, uses five categories depending on the degree of skin loss.
You might also like to view...
When examining the carotid arteries, the clinician should:
A. Ask the patient to hold his/her breath while auscultating the carotid arteries B. Use the bell of the stethoscope to listen over the carotid arteries C. Palpate one carotid artery at a time D. All of the above
Which complications can occur from cold applications?
a. Fever and cough b. Pain and poor circulation c. Friction and shearing d. Edema and infection
A client is prescribed an opioid–nonopioid drug combination. The nurse explains that the drug is composed of hydrocodone and acetaminophen
The client says, "Why am I getting this? I don't have a fever, and I don't think that will be enough for my pain." Which is the best response from the nurse? 1. "I am not really sure; it really can't hurt you." 2. "You still might run a fever; this will prevent it." 3. "Why, are you allergic to acetaminophen?" 4. "The two drugs work together to relieve your pain."
A school-age child is brought to the clinic after experiencing a nosebleed during a soccer practice. During the health history, which of the following is the most appropriate question for the nurse to ask the client?
a. "Do you use nasal sprays?" b. "Do you snore or experience breathing difficulties during sleep?" c. "Have you ever experienced nosebleeds before?" d. "Are you allergic to anything?"