Practice Question
The nurse is assessing a client with a wound. What question should the nurse ask to assess for sensation during the wound assessment?
Answer Choices:
Correct Answer:
"Can you feel pressure when sitting or lying down?"
Rationale:
💎 Sensation assessment during wound evaluation determines whether the client can perceive pressure, pain, or touch.
💎 This is crucial for identifying risk of pressure injury, especially in clients with neuropathy or impaired sensation.
💎 Asking about bowel, appetite, or movement does not directly evaluate sensation in affected tissue.
💎 Sensory deficits may delay healing and increase the chance of wound progression.
💎 Documenting client responses ensures accurate care planning.
Want to practice more questions like this?
This question is from W8 NR224.NR229 Comprehensive Final Exam which contains 70 questions.
More Questions from This Exam
A nurse is caring for a client whose respiratory rate is 40 breaths per minute. The client's respirations are abnormally deep. How would the nume document this finding in the electronic health record?
Answer Choices:
A. Agonal respirations
B. Kussmaul's respirations
C. Biot's respirations
D. Cheyne-Stokes respirations
A nurse provides education to a client on how to properly apply a vaginal cream for the treatment of a fungal infection. Which client statement demonstrates effective learning has occurred?
Answer Choices:
A. can stand up immediately after application."
B. can apply the cream using a cotton swab."
C. will refrigerate the vaginal cream before use."
D. will insert the cream using an applicator."
A client reports feeling better and wants to stop taking their prescribed medication. How should the nurse respond?
Answer Choices:
A. "You should gradually reduce the dose before stopping."
B. "You should not stop until you ask your healthcare provider."
C. "You can stop taking the medication if you feel better."
D. "You can start to take the medication every other day instead."
A nurse prepares a sterile field for a procedure. Which action(s) by a surgical team member should the nurse identify as contaminating the sterile field? Select all that apply.
Answer Choices:
A. A nurse allows a non-sterile item to touch the sterile field
B. surgical technician turns their back on the sterile field
C. A surgical technician places a sterile Item on the sterile field
D. A surgeon places the sterile field below waist level
E. A surgeon touches the sterile field with sterile gloves
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: 🏫 RN Exit Exams
- Answer Choices: 4
Was this question helpful?
0/5 average rating
(0 votes)