Wound care skills module 2.0 Ati test PDF

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Skills Module: Wound care ati test

1. A nurse is caring for a patient with a stage IV sacral pressure ulcer for which the provider has prescribed mechanical debridement. Which of the following should the nurse plan for this patient? Changing dressings using the wet to-dry-method. 2. A nurse is caring for a patient who is admitted with multiple wounds sustained in a motor-vehicle crash. Understanding the patient’s specific needs during the initial stage of wound healing, the nurse should incorporate which of the following into the patient’s plan of care to prevent a prolongation of this phase? Apply oxygen at 2L/min via nasal cannula. 3. A nurse is caring for a patient who has developed a stage 1 pressure ulcer in the area of the right ischial tuberosity. Which of the following should the nurse plan to apply to the ulcer? Zinc Oxide 4. A nurse is assessing a pressure ulcer over a patient’s right heel area observes a deep crater with no eschar or slough and no exposed muscle or bone. The nurse should document that this patient has a pressure ulcer that is Stage III 5. A patient who has a full-thickness wound continues to experience considerable pain during dressing changes, despite administration of the prescribed analgesic prior to wound care. Which of the following types of dressings should the nurse select help minimize the pain of dressing changes? Hydrogel. 6. A nurse is caring for a patient who has multiple sclerosis and has a chronic nonhealing wound. The nurse should recognize that which of the following types of medications is known to delay wound healing? Corticosteroids. 7. A nurse is caring for a patient who has a heavily draining wound that continues to show evidence of bleeding. Which of the following types of dressings should the nurse select to help promote hemostasis? Alginate 8. A nurse is documenting data about a deep necrotic wound on a patient’s left buttock. The nurse observes a yellowish-tan, soft, stringy area of necrotic tissue formed in clumps and adhering firmly to the wound bed. Which of the following assessment findings should the nurse document? Slough. 9. A nurse is documenting data about a healing wound on a patient’s lower leg. The predominant exudate in the wound is watery in consistency and light red in color. The nurse should document this exudate as Serosanguineous....