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
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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. A nurse is caring for a client who has acute osteomyelitis. Which of the following interventions is the nurse's priority?

Correct answer: A

Rationale:

3. A client has a new arm cast. What is incorrect teaching by the nurse?

Correct answer: D

Rationale: Sudden increase in drainage is not expected and should be reported as it may indicate an infection or other complication.

4. What are signs of hearing loss? (Select all that apply)

Correct answer: C

Rationale: Signs of hearing loss include tinnitus, frequent asking to repeat statements, and shouting in conversations.

5. The nurse notices a new area of skin breakdown near the site of a dressing. This would be an example of which phase of the nursing process?

Correct answer: B

Rationale:

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