A client is immobile and requires mechanical ventilation with a tracheostomy. She has a pressure injury on her coccyx measuring 5 cm by 3 cm. the nurse observes bone and tendon at the base of the wound. How would the nurse document this wound?

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Multi Dimensional Care | Exam | Rasmusson Questions

Question 1 of 5

A client is immobile and requires mechanical ventilation with a tracheostomy. She has a pressure injury on her coccyx measuring 5 cm by 3 cm. the nurse observes bone and tendon at the base of the wound. How would the nurse document this wound?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

A client has an open wound with creamy thick yellow drainage. How would the nurse document this finding?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

A client with lupus experience Raynaud's phenomenon. What should the nurse include when providing client education about this?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

Which client is at highest risk of compromised immunity?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

Which organization publishes the National Patient Safety Goals?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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