Exam 22: Preventing Pressure Ulcers and Assisting With Wound Care

The client has shallow craters on the coccyx and heels. The nursing assistant has placed the client on a pressure relieving mattress. What additional action would the nursing assistant take?

What must happen for a person with a wound to remain healthy?

The nursing assistant is caring for a client with generalized weakness, chronic heart failure, and frequent incontinence. What action should the nursing assistant take to decrease the development of a pressure ulcer?

Which factor increases a client's risk of developing a pressure ulcer?

What action does the nursing assistant include when turning the client with a wound drain in place?

A nursing assistant caring for a client with a stage 3 pressure ulcer would immediately report which finding to the nurse?

When bathing a resident in bed, the nursing assistant is most concerned about pressure ulcer development when finding that the resident has:

The main purpose of a wound drain is to:

The nursing assistant is caring for an unconscious resident. What is the best action by the nursing assistant to prevent a pressure ulcer?

Which is the major cause of pressure ulcers?

The nursing assistant observes that the client's skin around the abdominal dressing is slightly irritated from previous cloth tape used during dressing changes. When preparing for the next dressing change, what is the appropriate dressing for the nursing assistant to choose?

It is true that when an immobile client sits on a hard surface for too long, the biggest problem that can occur is that:

The nursing assistant observes the wounds of four clients. Which client would the nursing assistant report to the nurse immediately? The client who:

When a comatose resident is placed in the lateral position, the most likely place for a pressure ulcer to form is on the:

The nursing assistant is caring for a client who returned an hour ago from surgery and has an indwelling urinary catheter, an intravenous line, and a hemovac wound drain in place. What observation would the nursing assistant report immediately to the nurse?

The nursing assistant is caring for a client with a pale shiny area on their left heel. What is the appropriate action for the nursing assistant to take?

When assisting the nurse with a dressing change, which is a responsibility of the nursing assistant?

Which item has the least effect on preventing pressure ulcers from forming?

A nursing assistant best helps prevent a pressure ulcer from forming by:

A nursing assistant caring for a client with a stage 2 pressure ulcer would immediately report which finding to the nurse?