Critical Care Nursing A Holistic Approach 10th Edition by Patricia Gonce Morton
Critical Care Nursing A Holistic Approach 10th Edition by Patricia Gonce Morton
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Chapter 52- Patient Management- Integumentary System
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A nurse is caring for a patient in the ICU. During assessment of the skin she notices a wound on the patient’s coccyx that is covered in a brown leathery tissue-like material. Which of the following is the patient exhibiting? | |
| A) | Stage III pressure ulcer | |
| B) | Unstageable pressure ulcer | |
| C) | Abrasion | |
| D) | Stage II pressure ulcer | |
| E) | Suspected deep tissue damage | |
| 2. | Which of the following is the final phase of wound healing? | |
| A) | Proliferative phase | |
| B) | Maturation phase | |
| C) | Inflammatory phase | |
| D) | Epitheliazation phase | |
| E) | Granulization phase | |
| 3. | A nurse performs a visual assessment of a wound during the inflammatory phase of healing. Which of the following observations does the nurse make? Select all that apply. | |
| A) | Bleeding | |
| B) | Erythema | |
| C) | Edema | |
| D) | Scarring | |
| E) | Itching | |
| F) | Pain | |
| 4. | Which of the following are precipitating factors that can cause a chronic wound to fail to follow a sequential healing process? Select all that apply. | |
| A) | Rest | |
| B) | Diabetes | |
| C) | Infection | |
| D) | Mobility | |
| E) | Malnutrition | |
| F) | Peripheral vascular disease | |
| 5. | A nurse is caring for a patient with a skin tear. Which of the following is included in this care? Select all that apply. | |
| A) | Clean the wound with normal saline. | |
| B) | Clean the wound with hydrogel. | |
| C) | Cover the wound with a self-adherent dressing. | |
| D) | Tape the dressing in place to avoid displacement. | |
| E) | Apply hydrogel before cleansing the wound. | |
| F) | Wrap the wound with a nonadherent dressing. | |
Answer Key
| 1. | B |
| 2. | B |
| 3. | B, C, F |
| 4. | B, C, E, F |
| 5. | A, E, F |
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