A patient from a long-term care facility is admitted to the hospital with a sacral pressure ulcer. The base of the wound is yellow and involves subcutaneous tissue. How should the nurse classify this pressure ulcer?
a. Stage I
b. Stage II
c. Stage III
d. Stage IV
ANS: C
A stage III pressure ulcer has full-thickness skin damage and extends into the subcutaneous tissue. A stage I pressure ulcer has intact skin with some observable damage such as redness or a boggy feel. Stage II pressure ulcers have partial-thickness skin loss. Stage IV pressure ulcers have full-thickness damage with tissue necrosis, extensive damage, or damage to bone, muscle, or supporting tissues.
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A client has been admitted to the hospital for a virulent infection and is started on antibiotics. The client has laboratory work pending to determine if the diagnosis is meningitis. After starting the antibiotics, what action by the nurse is best?
a. Assess the client frequently for worsening of his or her condition. b. Delegate comfort measures to unlicensed assistive personnel. c. Ensure the client is placed on Contact Precautions. d. Restrict visitors to the immediate family only.
In the supermarket checkout, a young woman complained to her friend, "Old people think we taxpayers should pay for them to be in a nursing home. Seems like a waste of money." Which of the following would be the most appropriate response by the nurse?
a. "Did you know more than 90% of all the elderly live in their own homes while fewer than 5% live in care facilities?" b. "Those old people built our society; we owe it to them to support them now." c. "Would it be better to put each person to sleep when they reach a certain age such as 80 years?" d. "You know, you'll get old someday too. Won't you want someone to take care of you when you can't anymore?"
A full-time employee (FTE) who works 40 hours a week is referred to as a:
a. 0.5 FTE c. 0.9 FTE b. 0.8 FTE d. 1.0 FTE
Which of the following are strengths that older people have which are advantages that many younger adults do not? (Select all that apply.)
A) They probably have had more experience with coping, problem solving, and managing crises because they have lived longer. B) Most older persons do not have concerns about what they are going to be when they "grow up" because they have already grown up. C) Most elderly people have not learned who they really are. D) They have faced and overcome numerous stresses.