Practice Question
A patient from a long-term care facility is admitted to the hospital with a sacral pressure injury. The base of the wound involves subcutaneous tissue. How should the nurse classify this pressure injury?
Answer Choices:
Correct Answer:
Stage 3
Rationale:
💎 Stage 3 pressure injury involves full-thickness skin loss to subcutaneous tissue.
💎 May show visible fat but no muscle or bone exposure.
💎 Requires aggressive wound care to prevent stage 4 progression.
💎 Accurate staging guides treatment and prognosis.
💎 Supports consistent documentation for care continuity.
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This question is from Med Surg final Exam-Samuel merit University which contains 39 questions.
More Questions from This Exam
Adlect has been diagnosed with hyperthyroidism. Which signs and symptoms may indicate thyroid storm, a complication of this disorder?
Answer Choices:
A. Hypotension, chills, thirst
B. Lethargy, confusion, bradycardia
C. Bradycardia, hypotension, low urine output
D. Fever, tachycardia, tremors
Choose appropriate interventions to stabilize the patient with acute anemia. Select all that apply.
Answer Choices:
A. Fluid restrictions
B. Iron supplements
C. PRBC transfusion
D. O2 therapy
Which patient statement indicates to the nurse that additional instruction is needed for a patient with chronic syndrome of inappropriate antidiuretic hormone (SIADH)?
Answer Choices:
A. "I should eat foods high in potassium because diuretics cause potassium loss."
B. "I need to limit my fluid intake to no more than 1 quart of liquids a day."
C. "I need to shop for foods low in sodium and avoid adding salt to food."
D. "I should weigh myself daily and report sudden weight loss or gain."
Which information is most important for the nurse to include when teaching a patient newly diagnosed with hypertension?
Answer Choices:
A. Hypertension is usually asymptomatic until target organ damage occurs.
B. Annual BP checks are needed to monitor treatment effectiveness.
C. Increasing physical activity controls blood pressure (BP) for most people.
D. Most people are able to control BP through dietary changes.
In any clinical setting, which health care team member is responsible for developing an individualized plan of care that includes nursing diagnoses, interventions, and outcomes including the patient's self-management care plan?
Answer Choices:
A. Health care provider (MD, NP)
B. Licensed practical/vocational nurse (LPN/LVN)
C. Nursing Supervisor
D. Registered nurse (RN)
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: General Exams
- Domain: Medical-surgical📚
- Answer Choices: 4
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