NURSING ANM AND GNM

NURSING EXAM QUESTIONS

FUNDAMENTALS OF NURSING

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A male client is on prolonged bed rest has developed a pressure ulcer. The wound shows no signs of healing even though the client has received skin care and has been turned every 2 hours. This is among the factors is most likely responsible for the failure to heal.
A
Low calcium.
B
Inadequate protein intake
C
Inadequate vitamin D intake
D
Inadequate massaging of the affected area
Explanation: 

Detailed explanation-1: -Currently, hydrocolloid dressings are widely used in individuals with Category/Stage II pressure ulcers. They are also used as primary dressings in the management of Category/Stage III and IV pressure ulcers that are healing well and have become shallow.

Detailed explanation-2: -Keep the wound clean to prevent infection. Clean the sore every time you change a dressing. For a stage I sore, you can wash the area gently with mild soap and water. If needed, use a moisture barrier to protect the area from bodily fluids.

Detailed explanation-3: -Nurses, in particular, examine the skin and are most likely to be the first professional to examine any skin lesion. In the absence of licensed independent practitioners/wound care specialist, the registered nurse needs to identify and stage the pressure ulcer so that early and appropriate care can be rendered.

There is 1 question to complete.