The client has been diagnosed with a stage 4 pressure ulcer with tunneling. Which intervention should the nurse implement when instructed to apply a medicated rope dressing to the wound?

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Skin Integrity NCLEX Questions Questions

Question 1 of 5

The client has been diagnosed with a stage 4 pressure ulcer with tunneling. Which intervention should the nurse implement when instructed to apply a medicated rope dressing to the wound?

Correct Answer: C

Rationale: Inserting a medicated rope dressing into the tunnel with a sterile cotton swab promotes healing. Questioning is unnecessary, topical anesthetics aren't used, and saline precedes, not follows, dressing.

Question 2 of 5

Which interleukin is used as an adjuvant immunotherapy for malignant melanoma?

Correct Answer: B

Rationale: Interleukin-2 is used as an adjuvant immunotherapy for malignant melanoma.

Question 3 of 5

What is the origin of a keratoacanthoma?

Correct Answer: A

Rationale: Keratoacanthomas originate from the hair follicle.

Question 4 of 5

For any flap to survive, it must:

Correct Answer: B

Rationale: For a flap to survive, it must have a viable blood supply.

Question 5 of 5

The nurse is assisting an 18-year-old female client to plan a healthy diet to support recent weight loss. Which of the following should be included in the dietary plan?

Correct Answer: A

Rationale: Grain intake should include at least six servings daily. To maintain a healthy weight and reduce incidence of cardiovascular disease, fat intake should not exceed 30 % of the daily intake. Folic acid intake should be at 400 mg daily, not 200 mg. Iron is a vital ingredient in the daily diet; 18 mg daily is reflective of the desired amount, and limiting it below 21 mg is unnecessary for constipation prevention, which is better managed by fluid and fiber intake.

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