the nurse has documented the following wound assessment shallow open reddened ulcer with no slough on the anterior region of the right heel what stage
Logo

Nursing Elites

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. The nurse has documented the following wound assessment. "Shallow, open, reddened ulcer with no slough on the anterior region of the right heel?"? what stage is the wound?

Correct answer: D

Rationale:

2. The nurse suspects a 3-year-old who is coughing vigorously has aspirated a small object. Which action should the nurse take?

Correct answer: D

Rationale:

3. The nurse Is teaching the client how to administer eye drops. Which of these actions indicates the need for further client education?

Correct answer: D

Rationale: Touching the dropper to the eye contaminates it and can lead to infection.

4. The client with RA complains of intensely dry eyes. What does the nurse suspect?

Correct answer: B

Rationale:

5. A client does not understand why vision loss due to glaucoma is irreversible. What is the nurse's best explanation?

Correct answer: B

Rationale: The correct explanation for irreversible vision loss in glaucoma is that once the tissue has necrosed from high pressure, it does not regenerate. This necrosis occurs due to the damage caused by increased intraocular pressure, which leads to irreversible damage to the optic nerve and retinal tissue. Choices A, C, and D are incorrect because they do not directly address the specific mechanism of irreversible vision loss in glaucoma, which is necrosis due to high pressure.

Similar Questions

What phase of wound healing occurs at the time of injury and lasts about 3-5 days?
Why is traction used?
What are some of the expected outcomes when medications are given for rheumatoid arthritis?
A client has sustained an open fracture. How can the nurse best prevent osteomyelitis in this client?
A client has AIDS. Which of these findings indicate possible infection?

Access More Features

ATI RN Basic
$69.99/ 30 days

  • 5,000 Questions with answers
  • All ATI courses Coverage
  • 30 days access

ATI RN Premium
$149.99/ 90 days

  • 5,000 Questions with answers
  • All ATI courses Coverage
  • 30 days access

Other Courses