Practice Question
Although you were informed that your assigned patient has no special skincare needs, you observe reddened areas over bony prominences upon your assessment. What is the next appropriate action?
Answer Choices:
Correct Answer:
Perform and document a focused assessment of skin integrity.
Rationale:
🔷 Observing reddened skin over bony areas indicates early pressure injury (Stage 1) formation.
🔷 The nurse’s next step is a focused skin integrity assessment—examining color, warmth, moisture, and size of affected areas.
🔷 All findings must be clearly documented to establish a baseline and guide preventive measures.
🔷 Prompt reporting ensures early intervention and reduces progression to deeper tissue injury.
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This question is from Examplify PNR 201 which contains 49 questions.
More Questions from This Exam
A nurse reviews the three major types of skin cancer. Which of the following skin cancers presents in a variety of colors with an irregular surface and notched border?
Answer Choices:
A. Squamous cell carcinoma
B. Myeloma
C. Superficial spreading melanoma
D. Lymphoma
The nurse is caring for patients in a long term care facility, which client is at the greatest risk for developing a decubitus ulcer?
Answer Choices:
A. An incontinent client who had 3 diarrhea stools.
B. An obese client who uses a wheelchair.
C. A 79-year-old malnourished client on bed rest.
D. An 80-year-old ambulatory diabetic client.
Which nutritional recommendations should the nurse make to encourage wound healing for a client with a pressure ulcer?
Answer Choices:
A. To decrease the client's protein intake
B. To increase the client's zinc, vitamin A, C, and E
C. To restrict the client's daily caloric intake
D. To increase the client's intake of vitamin D
The nurse is educating a patient with psoriasis. Which information is most important for the nurse to include in the teaching plan?
Answer Choices:
A. Liberally apply a lubricating cream three times daily.
B. Take hot baths to reduce skin discomfort.
C. Use an alcohol-based cleanser in the morning.
D. Use a humidifier at night.
A client has a deep ulceration and necrosis involving deeper underlying muscle on their coccyx area. What stage of tissue injury is this?
Answer Choices:
A. Stage 1
B. Stage 4
C. stage 3
D. Stage 2
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: 💎Examplify-PN
- Domain: 🎓Medsurg-PN
- Answer Choices: 4