PCC Skin Integrity

Front

The nurse is assessing the client’s wound and notes that the wound bed shows granulation. What phase of wound healing is described by the nurse’s note?

Back

Proliferation

Front

A client is post-abdominal surgery. The incision has been closed by primary intention, and the staples are intact. To provide more support to the incision site and decrease the risk of dehiscence, it would be appropriate to apply which of the following? Additional surgical staples, Steri-Strips, Paper Tape, Abdominal binder

Back

Abdominal binder

Front

Which of the following clients does the nurse recognize as being at greatest risk for pressure injury? A toddler with abrasions to the knees, A 22 year old with type 1 diabetes, A 48 year old with quadriplegia, A 78 year old who uses a cane to ambulate

Back

A 48 year old with quadriplegia

Front

A patient who experienced traumatic injuries after a motorcycle accident has a wound on his lower extremity that the surgeon reports will be sutured closed after reevaluting in 2 weeks. What form of healing is this?

Back

Tertiary healing

Front

According to the NCSBN Clinical Judgment Model, the patient outcome goal statement "wound will remain free of infection" is:

Back

Generating Solutions