The evening nurse reviews the nursing documentation in a client's chart and notes that the day nurse has documented that the client has a stage II pressure ulcer in the sacral area. Which finding would the nurse expect to note on assessment of the client's sacral area?

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Question 1 of 5

The evening nurse reviews the nursing documentation in a client's chart and notes that the day nurse has documented that the client has a stage II pressure ulcer in the sacral area. Which finding would the nurse expect to note on assessment of the client's sacral area?

Correct Answer: D

Rationale: Stage II pressure ulcers involve partial-thickness loss of the dermis.

Question 2 of 5

Which intervention is a secondary nursing intervention for osteoporosis?

Correct Answer: A

Rationale: Bone density tests screen for osteoporosis, identifying those at risk.

Question 3 of 5

What data should the nurse report to the HCP immediately for a client with a fractured left tibia and fibula?

Correct Answer: C

Rationale: Absent pulse and increasing pain suggest acute compartment syndrome needing urgent intervention.

Question 4 of 5

Which intervention should the nurse include for a client diagnosed with carpal tunnel syndrome?

Correct Answer: B

Rationale: Monitoring occupational hazards addresses repetitive strain, a key factor in carpal tunnel syndrome management.

Question 5 of 5

The elderly client is admitted to the hospital for severe back pain. Which data should the nurse assess first during the admission assessment?

Correct Answer: B

Rationale: Assessing pain level first addresses the chief complaint and guides subsequent care planning.

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