Textbook of Basic Nursing (Lippincott's Practical Nursing) Tenth Edition by Caroline Bunker Rosdahl, Mary T. Kowalski
Textbook of Basic Nursing (Lippincott's Practical Nursing) Tenth Edition by Caroline Bunker Rosdahl, Mary T. Kowalski
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Chapter 58- Special Skin and Wound Care
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A nurse is assessing the wound in the left arm of a client. The wound, caused by a motor vehicle accident, has torn, ragged edges. How should the nurse document the wound in the electronic medical record? | |
| A) | Incision | |
| B) | Abrasion | |
| C) | Laceration | |
| D) | Puncture | |
| 2. | A nurse is assessing the wound in the right hip of a client following surgery. The wound has clean edges. How should the nurse document the wound in the electronic medical record? | |
| A) | Incision | |
| B) | Abrasion | |
| C) | Laceration | |
| D) | Puncture | |
| 3. | A nurse documents in the electronic medical record the discharge from a client’s surgical wound as “slight serosanguineous drainage.” What is meant by “serosanguineous drainage?” | |
| A) | Composed of pus only | |
| B) | Composed of blood only | |
| C) | Composed of clear serum | |
| D) | Composed of serum and blood | |
| 4. | The nurse educator is reviewing with student nurses the causes of skin breakdown. What is the best response by a student nurse of the common cause of skin breakdown that can occur as a result of clothing, bed linens, or client safety devices? | |
| A) | Shearing force | |
| B) | Immobility | |
| C) | Presence of external moisture | |
| D) | Sensory loss | |
| 5. | The nurse is assessing a client’s wound on admission to the healthcare facility. The client has a loss of epidermis with damage into the dermis that appears as a shallow crater/blister with red/pink wound bed and no sloughing on the right hip. Based on this information, what stage pressure ulcer should the nurse document in the electronic medical record? | |
| A) | Stage 1 | |
| B) | Stage 2 | |
| C) | Stage 3 | |
| D) | Stage 4 | |
Answer Key
| 1. | C |
| 2. | A |
| 3. | D |
| 4. | A |
| 5. | B |
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