Practice Question
The nurse documenting an acute open wound should include which characteristics? Select all that apply.
Answer Choices:
Correct Answer:
Wound size.
Rationale:
💠 Document wound size (L×W×D) for objective healing trends and product selection.
💠 Describe the wound bed (granulation, slough, necrosis) to guide debridement needs.
💠 Assess peri wound skin (erythema, maceration, induration) to prevent breakdown spread.
💠 Include exudate type/amount and odor to evaluate infection or dressing match.
💠 Use consistent validated tools (e.g., PUSH) for reliable inter‑rater comparison.
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This question is from RN Med surg-Lippincott which contains 61 questions.
More Questions from This Exam
A nurse observes that decerebrate posturing is a comatose client's response to painful stimuli. Decerebrate posturing as a response to pain indicates:
Answer Choices:
A. Dysfunction in the cerebrum.
B. Dysfunction in the brain stem.
C. Dysfunction in the spinal column.
D. Dysfunction in the motor cortex.
A client in the emergency department has a suspected neurologic disorder. To assess gait, the nurse asks the client to take a few steps; with each step, the client's feet make a half circle. To document the client's gait, the nurse should use which term?
Answer Choices:
A. Ataxic.
B. Dystrophic.
C. Steppage.
D. Helicopod.
Which term describes the fibrous connective tissues that cover the brain and spinal cord?
Answer Choices:
A. Dura mater.
B. Meninges.
C. Pia mater.
D. Arachnoid mater.
Which cranial nerve is responsible for muscles that move the eye and lids?
Answer Choices:
A. Oculomotor.
B. Vestibulocochlear.
C. Facial.
D. Trigeminal.
The critical care nurse is giving end-of-shift report on a client. The nurse uses the Glasgow Coma Scale (GCS) to assess the level of consciousness (LOC) of a female client and reports to the oncoming nurse that the client has an LOC of 6. What does an LOC score of 6 in a client indicate?
Answer Choices:
A. Stupor.
B. Somnolence.
C. Normal.
D. Deep coma.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: General Exams
- Domain: Medical-surgical📚
- Answer Choices: 4
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