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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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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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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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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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HESI RN Case Study Skin Integrity - Flashcards Sara Graham 7 July 2022 30 test answers Unlock all answers in this set Unlock answers 30 question The nurse identifies a priority problem for Aaron's plan of care as "Impaired skin integrity". What etiology should the nurse identify?
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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.
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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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Week 2 Skin Integrity Case Study. skin integrity . Course. Foundations (NUR3130) 232 Documents. Students shared 232 documents in this course. University Nova Southeastern University. Academic year: 2018/2019. Uploaded by: Arian Suarez 999+ Nova Southeastern University. Recommended for you. 12. Chapter 29 Medications (Foundations)
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What is the Skin Integrity Hesi Case Study? Why is it important for educators and students? How does it contribute to overall learning outcomes? What are the key challenges faced by educators while teaching this case study? What strategies can be implemented to enhance student engagement?
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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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ISBN: 9781455741366 Copyright: 2018 Publication Date: 06-19-2012 Imprint: Elsevier List Price: $49.00 HESI Case Studies: RN Fundamentals Collection (2 Year Version) - Next Generation Version, 1st Edition by HESI HESI Case Studies Use your knowledge of Fundamentals skills and apply key concepts to realistic patient care scenarios.
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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.
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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.