A nurse assesses a nursing home resident's pressure ulcer to be a "healing stage III." The primary reason reverse staging is never used is because:
a. even though all tissue layers are replaced as a wound heals, the healed skin is not as strong as it originally was.
b. not all tissue layers are replaced as a wound heals, and the healed skin is not as strong as it originally was.
c. reimbursement in nursing homes does not allow for reverse staging to be utilized.
d. the collagen layer is not replaced during wound healing.
ANS: B
Not all tissue layers are replaced as a wound heals. The wound fills with granulation tissue com-posed of endothelial cells, fibroblasts, collagen, and extracellular matrix. Muscle, subcutaneous fat, and dermis are not replaced. The healed skin is not as strong as it originally was. Reimburse-ment in long-term care is not the primary reason for not using reverse staging.
You might also like to view...
Which statement is true about a safe, effective care environment for older adults?
a. Cold beer with steak and potatoes is a good meal for an older adult on a hot day. b. They are more likely to be in a fatal motor vehicle accident than younger drivers. c. Barrier-free buses and low fares make public transit a safe transportation option. d. A nurse's perception of temperature is a useful guide for patient thermal needs.
As you assess a pregnant patient you suspect false large-for-dates presentation. You should recognize that a possible cause for this is:
A. Inaccurate LMP date B. Excessive amniotic fluid C. Maternal obesity D. All of the above
__________ occur when the articular surfaces of a joint are no longer in contact
Fill in the blank(s) with correct word
A patient has been admitted with a possible kidney stone. The nurse would expect the patient's pain to radiate from which area?
1. The middle of the back, between the scapulas 2. Very low in the center of the back 3. The area where the ribs and spine come together 4. The middle of the abdomen, just above the umbilicus 5.