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27 PN Hesi Skin Integrity Case Study In addition to measuring the length of time the redness lasts, which assessment measure (s) should the nurse perform? (Select all that apply.)Apply light pressure to the area with the fingertips. Measure the diameter of the redness. Obtain a wound culture.
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HESI Case Study Skin Integrity YouTube
Fundamentals HESI Study Guide; Med Surg Final exam review; Bates Test questions The Abdomen; Mike Kelly HTN - case study; Trending.. 2021 - NURS 272 - Session 4 Skin Integrity Case Study 2. University: University of San Francisco. Course: Applied Assessment & Nursing Fundamentals Across The Lifespan Ii: Alterations In Health & Illness (NURS 272)
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A) Apply light pressure to the area with the fingertips. B) Measure the diameter of the redness. B) Observe for wound approximation. C) Obtain a wound culture D) Gently lift a fold of skin. A) Apply light pressure to the area with the fingertips. Rationale: The RN applies light pressure with the fingertips to asses for blanching.
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1. Which etiology identified by the nurse is accurate? a. Impaired physical mobility (Since Alexander is paraplegic, he has impaired physical mobility, amajor factor that contributes to pressure ulcer development.) After establishing the priority diagnosis, the nurse identifies goals and expected outcomes. 2.
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1. The nurse observes that the reddish area round, 3 cm diameter, and is directly over the client's sacrum. The skin is intact. In addition to measuring the length of the time the redness lasts, which assessment measure should the nurse perform? A) Apply light pressure to the area with the fingertips. B) Observe for wound approximation.
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The client returns to the college health clinic weekly, where the nurse monitors the progress of their wound healing until the goal of intact skin integrity is achieved. Physical Assessment Simulation Case Study Spring 2022 ADN Level 1 Learn with flashcards, games, and more — for free.
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Study with Quizlet and memorize flashcards containing terms like In addition to measuring the length of time the redness last, which assessment measures should the nurse perform?, The sacral area has remained red for 2 hours and does not blanch when tested. Which is the best description for the nurse to document?, Which areas are most important for the nurse to observe for additional pressure.
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HESI Case Study: Skin Integrity Assessment The nurse observes that the reddish area is round and is directly over the client's sacrum. The skin is intact. In addition to measuring the length of time the redness lasts, which assessment measure (s) should the nurse perform? (Select all that apply. One, some, or all options may be correct.)
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HESI Case Study Template Case Study Name: Content related to the case study Client Profile-20-year-ole Caucasian male -Result from motorcycle accident patient is paraplegic -Nurse at college inspects a reddened area on his sacrum Brief explanation of illness/surgical procedure Paraplegic is a condition that causes impairment to motor and sensory function of the lower extremities Skin integrity.
Week 2 Skin Integrity Case Study Mrs. Bradley is a 91 year old woman
A) Apply a moisture-repellent ointment on intact skin areas.Rationale: After the skin is cleaned and dried, a moisture-repellent ointment should be applied to protect and moisturie the skin. Fecal toxins are damaging to tissue, and excessive moisture causes skin maceration and damage.
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The healing ulcer continues to need the protection and moist environment provided by a hydrocolloid (Duoderm-type) dressing. Study with Quizlet and memorize flashcards containing terms like The nurse observes that the reddish area is round, 3 cm in diameter, and is directly over the client's sacrum. The skin is intact.
