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Practice Question

The nurse is caring for an older adult client who is admitted to a skilled nursing unit for treatment of pressure injuries on the coccyx and heels of both feet. Which documentation method provides the best means of evaluating treatment?

Answer Choices:

Correct Answer:

Digital (photograph) imaging.

Rationale:

📸Digital photographic imaging provides the most accurate, objective, and consistent method to evaluate wound healing and response to treatment over time.

📸Photos allow visual comparison of wound size, color, depth, and tissue condition, which helps track progress or deterioration of pressure injuries.

📸This method also enhances communication among healthcare providers and serves as legal documentation in the client’s medical record.

📸While narrative or diagram documentation can describe wounds, they lack precision and detail compared to digital images.

📸To maintain confidentiality and accuracy, photos must be taken with consent, using facility-approved equipment and securely stored within the electronic health record (EHR).

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This question is from Hesi Assessment which contains 29 questions.

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Answer Choices:

A. Bilateral itchy, red eyes with watery discharge.
B. Acute pain, change in visual acuity, and foreign body sensation.
C. Frequent burning, irritation and tearing of the eyes.
D. Diminished ability to focus on close work and excessive illumination required.
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A. Notify the surgical staff of the client's confusion.
B. Add the additional information to the permit.
C. Inform the surgeon about the client's concern.
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The nurse is assessing an older adult female client with arthritis in the spine. Which statement best describes objective data regarding the client's level of functioning?

Answer Choices:

A. Client's niece reports that her aunt is in pain almost all of the time.
B. Client's medical record includes a treatment plan for spinal arthritis.
C. Client states, "I am able to bathe myself without assistance."
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Answer Choices:

A. One finger.
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Answer Choices:

A. Administer the prescribed antibiotic intravenously at 0900.
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From Exam
Hesi Assessment

29 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: HESI Exam(s)
  • Domain: 🏡HESI-Health Assessment
  • Answer Choices: 4
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