Upon skin inspection of an older adult, the coccyx wound is noted to be intact, reddened, and non-blanchable. What is the best way to document the nurse's assessment finding?

Correct Answer: A

Rationale: The correct way to document the nurse's assessment finding of an intact, reddened, and non-blanchable coccyx wound in an older adult is as a stage I pressure injury. In stage I pressure injuries, the skin is intact but shows non-blanchable redness, indicating potential tissue damage. This finding aligns with the description provided in the question. Stage II pressure injuries involve partial-thickness skin loss, which is not the case here. Stage III injuries involve full-thickness tissue loss without bone, and stage IV injuries involve full-thickness tissue loss with exposed bone or muscle, both of which are more severe than the presented findings. Therefore, the best way to document this assessment finding is as a stage I pressure injury.

Correct Answer: C

Rationale: Nonmaleficence, the principle of 'do no harm,' is emphasized by preventing falls and ensuring patient safety.

Correct Answer: B

Rationale: The statement denying the role of nursing theory in aligning evidence-based practice with core principles indicates a misunderstanding, warranting further education.

Correct Answer: C

Rationale: Acute pancreatitis typically presents with sudden, severe epigastric pain radiating to the back, due to pancreatic inflammation.

Correct Answer: A

Rationale: The nursing practice act is the legal framework that defines the scope of nursing practice, established by state or national legislation.