Author: Anonymous

A client who is comatose is admitted to the intensive care unit. The nursing assessment reveals intact skin, but the nurse identifies this patient as being at extremely high risk for pressure injury development. What is the most significant, direct reason for this client’s increased vulnerability based on their neurological status?

Explain the chain of infection and all of the elements that must be present and how to keep an infection from starting.

A perioperative nurse is preparing a client for surgery in an ambulatory surgical center. What aspect of perioperative nursing has the most significant impact on this setting compared to inpatient surgery?

The nurse is caring for a postoperative client. What interventions promote normal gastrointestinal function and prevent complications? Select all that apply.

A nurse is educating a client about optimizing nutrition to promote wound healing following surgery. The nurse emphasizes the importance of various nutrients. Which of the following nutrients is specifically crucial for the synthesis of collagen, a key protein in wound repair?

A nurse is caring for a client with a full-thickness wound that is 5 days old and is showing signs of healing. The nurse observes a beefy red, moist tissue filling the wound bed. Which of the following cellular activities and processes are characteristic of this phase of wound healing? Select all that apply.

A client is scheduled for an elective surgery. The nurse reviews the client’s history and notes that the client has a well-controlled diagnosis of hypertension and a BMI of 32. The nurse classifies the client’s preoperative risk status. What American Society of Anesthesiologists (ASA) Physical Status Classification should the nurse assign?

A nurse is discussing wound healing with a novice colleague. The colleague asks about the primary disadvantage of wounds healing by secondary intention compared to primary intention. What is the most accurate response regarding this disadvantage?

A nurse is providing an in-service on pressure injury prevention. When discussing the differentiation between shear and friction injuries, which of the following statements accurately describe key characteristics that distinguish a friction injury from a pressure injury caused by shear? Select all that apply.

A nurse is managing a clean, granulating pressure injury on a client’s sacrum. The wound bed is moist and red. The nurse understands the importance of using noncytotoxic solutions for wound cleansing to promote healing. Which of the following solutions would be contraindicated for cleansing this specific type of wound?