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The nurse is caring for an immobile patient who is 5 feet, 11 inches tall and weighs 140 pounds. In planning care for the patient, which of the following does the nurse understand is the patient’s risk level for developing a pressure ulcer?

A patient with cancer is experiencing hair loss from chemotherapy treatments. Which of the following terms would the nurse use to document this finding?

The nurse is caring for a patient who is 2 days post-inhalation burn injury from a house fire. Which outcome best indicates that nursing interventions for impaired gas exchange have been effective?

The nurse notes a thickening and hardening of the skin from continued irritation on an individual who is wheelchair-bound. What term should the nurse use to describe this finding?

The nurse is caring for a patient who is undergoing fluid replacement after being burned on 37% of the body. Nursing assessment reveals a blood pressure of 80/60 mm Hg, heart rate of 120 beats/min, and urine output of 10 mL over the past hour. The nurse reports assessment findings to the physician and anticipates which of the following orders?

The nurse is preparing wet dressings for a patient who has a weeping skin lesion. What is the maximum length of time the wet dressings should be used?

The nurse is caring for a patient who has a pressure ulcer on the hip. The ulcer is filled with purulent discharge and has black areas over part of it. It is painful and has a foul odor. What must be done first for healing to occur?

The nurse is applying a medicated plastic wrap dressing to a patient’s leg. What intervention should the nurse include in the plan of care to prevent development of complications?

1. Mariana es de Carolina, Puerto Rico.

Respondiendo a las preguntas de Mariana. Answer the one of the questions that Mariana asks in her message in Spanish. OJO: For full credit, be sure to respond with some detail. Simply responding “sí” o “no” is not a sufficient response. (3 pts)