The wound care nurse documented a client's pressure ulcers on admission as 3.3 cm × 4.0 cm stage II on the coccyx. Which information would alert the nurse that the client's pressure ulcer is getting worse?

Correct Answer: D

Rationale: The correct answer is D because a pressure ulcer worsening is indicated by progression to deeper tissue layers, such as the subcutaneous layer, and presence of drainage. This suggests tissue damage and increased risk of infection. Choice A describes an area of erythema that does not blanch, indicating possible skin damage but not necessarily worsening of the pressure ulcer. Choice B describes a blister, which can be a sign of pressure injury but does not necessarily indicate worsening. Choice C mentions intact skin and pain, which may suggest other issues but not necessarily worsening of the pressure ulcer.

Correct Answer: D

Rationale: The correct answer is D because keeping the groin area dry helps prevent tinea cruris, a fungal infection commonly known as jock itch. Moisture in the groin area creates an ideal environment for the fungus to thrive. By drying the area thoroughly after bathing, football players can reduce the risk of developing tinea cruris. A: Instructing players to wear tight jock straps can actually increase moisture and friction, leading to a higher risk of tinea cruris. B: The color of socks does not impact the prevention of tinea cruris. C: Sharing brushes or combs does not directly relate to the prevention of tinea cruris.

Correct Answer: A

Rationale: The correct answer is A: Social isolation. When a client is diagnosed with leprosy, there is a significant stigma associated with the disease leading to social isolation. The nurse should identify this as a priority problem to address the client's emotional well-being and quality of life. Altered body image (B) and alteration in comfort (D) are important considerations but addressing social isolation is crucial in this case. Potential for infection (C) is not the priority as leprosy is not highly contagious.

Correct Answer: D

Rationale: The correct answer is D: Elevated hematocrit levels. During the resuscitation/emergent phase of burn injury, the body responds by shifting fluids from the intravascular space to the interstitial space, leading to hemoconcentration and elevated hematocrit levels. This occurs due to increased capillary permeability and fluid loss. A: Decreased heart rate is not typically expected during the resuscitation phase of burn injury. B: Increased urinary output may occur in the diuretic phase, which follows the resuscitation phase. C: Increased blood pressure is not a typical finding during the resuscitation phase of burn injury. In summary, the correct answer is D because hemoconcentration and elevated hematocrit levels are expected due to fluid shifts in the resuscitation/emergent phase of burn injury.

Correct Answer: A

Rationale: The correct answer is A: Being overweight. Excess weight puts additional stress on the joints, leading to increased risk of developing OA. This is a modifiable risk factor as weight management through diet and exercise can help reduce the risk. Option B (Increasing age) is a non-modifiable risk factor as age itself cannot be changed. Option C (Previous joint damage) increases the risk but is not modifiable. Option D (Genetic susceptibility) also increases the risk, but genetics cannot be altered. Therefore, being overweight is the modifiable risk factor for developing OA.