Asked by Jagmohan Aulakh on Jul 30, 2024

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A nurse is assigned most of the patients with pressure ulcers. The nurse leaves the pressure ulcer open to air and does not apply a dressing. To which patient did the nurse provide care?

A) A patient with a clean Stage I
B) A patient with a clean Stage II
C) A patient with a clean Stage III
D) A patient with a clean Stage IV

Pressure Ulcer

A localized injury to the skin and/or underlying tissue, typically over a bony area, as a result of pressure or pressure in combination with shear and/or friction.

Dressing

A sterile pad or compress applied to a wound to promote healing and protect the area from further harm.

  • Educate patients and caregivers on the prevention and care of pressure ulcers and wounds.
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SP
Sneha PoddarAug 04, 2024
Final Answer :
A
Explanation :
Stage I intact pressure ulcers that resolve slowly without epidermal loss over 7 to 14 days do not require a dressing. A composite film, hydrocolloid, or hydrogel can be utilized on a clean Stage II. A hydrocolloid, hydrogel covered with foam, calcium alginate, and gauze can be utilized with a clean Stage III. Hydrogel covered with foam, calcium alginate, and gauze can be utilized with a clean Stage IV. An unstageable wound covered with eschar should utilize a dressing of adherent film or gauze with an ordered solution of enzymes.