A nurse is instructing a nursing assistant on the procedure of changing bed linens. The nursing assistant asks the nurse what to do if the linens are soiledwith drainage from a pressure ulcer. What is the most appropriate response by the nurse?

The nurse is teaching a client how to care for his skin. The nurse determines that the client understands teaching about sebum when the client makes which statement?

The nurse is planning care for a client with a late-stage burn wound to promote healing. What is the most important intervention for the nurse to include?

A client has an inflamed area on the right forearm that’s causing considerable discomfort. The nurse would anticipate the physician to prescribe which measure?

An elderly client has a sore on the inside of his ankle that he says won’t heal. After noting varicosities and coarse discoloration around the sore, the nurse should suspect which condition?

A nurse prepares a client for a shave biopsy of a skin lesion. What is the priority information for the nurse to include in the teaching plan?

The physician orders a wet-to-dry dressing for a client who has a pressure ulcer with infected, necrotic tissue. The nurse understands that the purpose of this dressing is:

When changing a dressing on a pressure ulcer, a nurse notes necrotic wound tissue. Based on this assessment finding, the nurse anticipates that the physician will order which procedure?

A nurse educator is teaching a group of clients about hygiene. Which statement by a client indicates the need for further teaching?

A client is admitted with suspected malignant melanoma on his left shoulder. During the physical assessment, the nurse would anticipate observing:

A client with extensive burns has a new donor site. What is the most important intervention by the nurse?

A client has recently had a skin graft. What is the most important instruction for the nurse to give the client?

The nurse is teaching the client how to prevent development of basal cell epithelioma. What is the priority instruction for the nurse to give the client?

The nurse is assessing an older client’s skin turgor and finds inelasticity present. The nurse interprets this assessment as indicating:

A client has a stage II sacral pressure ulcer that is being treated with a transparent film dressing. The nurse is aware that:

A client has been diagnosed with late-stage Lyme disease. The nurse anticipates that the client may exhibit which of the following?

The nurse is providing instructions to a family who will be caring for a bed-bound client who is going home. The nurse determines that teaching was effective when the family members state the need to avoid the use of a:

The client has sustained a burn wound. What is the most important intervention by the nurse to decrease hypertrophied scarring during later stages of healing?

The nurse is teaching a client’s family the procedure for a dressing change they will do when the client is discharged. What is the most important action for the nurse to tell the client’s family that they should do first?

What is the most important information for the nurse to teach a client about hypersensitivity skin test results?

The nurse is reviewing lab results of a client diagnosed with disseminated herpes zoster who is receiving hydrocortisone (Solu-Cortef). Which laboratory value does the nurse anticipate will be elevated?

A client has been admitted to the burn unit with extensive full-thickness burns. What is the nurse’s priority in implementing the treatment plan for the client?

A nurse is performing a skin assessment on a recently admitted client. The nurse analyzes the assessment findings and determines that which is the most important risk factor?

A postoperative client signals the nurse and states, “I felt something pop.” The nurse enters the room and notes a wound evisceration. What is the most important action by the nurse?

The nurse is performing a sterile dressing change. What is the most important intervention by the nurse?

The nurse is teaching a class of unlicensed assistive personnel (UAP) about the importance of mobility and turning clients. A UAP ask the nurse how often a client who is confined to bed should be turned. What is the best response by the nurse?

The nurse is caring for a bedridden older adult. What is the most important nursing intervention?

A client received burns to his entire back and left arm. The nurse uses the Rule of Nines to calculate that he has sustained burns to what percentage of his body?

A client has been receiving moist saline dressings to an open ulcer of the foot for 10 days. The nurse is assessing the current status of the wound and determines that treatment has been effective when the area appears as which of the following?

A 19-year-old client presents with second-degree sunburn on her face and both arms. What is the initial intervention by the nurse?