Pre-Quiz Josephine Morrow

The nurse removes a dressing and assesses yellow, foul smelling drainage. How would the nurse document this finding?

Purulent

The nurse is completing an admission assessment on a patient admitted for impaired skin integrity. Which questions would be appropriate for the nurse to ask the patient?

- Have you noticed any swelling on your feer, ankles, or fingers? - Do some areas of your skin seem warmer or colder than others? - Have you used pads or special pants because you can't control your urine? - Do you have any aores on your body?

The nurse is performign a sterile dressing change. After donning sterile gloves, the nurse drops the dressing on the bed and does not have a replacement. What is the appropriate action at this time?

Ask the patient to press the call bell to summon a co-worker to obtain another dressing

The nurse is assessing a patient admitted with venous stasis ulcer on the right lower exremity. What would the nurse expect to find when assessing the leg?

Dark discoloration of the skin surrounding the wound site.

The nurse is conducting a skin assessment using the Braden Scale. How would the nurse interpret a score of 12?

High risk

The nurse is preparing to irrigate a wound. Which statement, if made by the nurse, indicates an understanding of the procedure?

I will greatly direct a stream of fluid into the wound, keeping the syringe tip at least one inch from the upper tip of the wound.

The nurse is reviewing the patient's laboratory results. Which lab test most accurately respresents current nutritional status?

Prealbumin