Questions 6

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NCLEX RN Client Needs Physiological Adaptation Questions

Extract:


Question 1 of 5

The nurse is caring for a client with a sacral wound. The wound is full thickness, measures 4 cm X 6 cm with irregular borders, and is covered by a layer of black collagen. Which is this wound stage?

Correct Answer: D

Rationale: A full-thickness wound with black collagen (eschar) is unstageable (
D) because the depth cannot be assessed. Stage I (
A) is non-blanchable redness, Stage II (
B) is partial thickness, and Stage III (
C) is full thickness without eschar.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

Similar Questions

The nurse is seeing a client in the clinic who complains of a sore throat. The client asks for an antibiotic. How should the nurse respond? Select all that apply.

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