The nurse is caring for a client with blanchable redness to... | RN NUR Med-Surg Exam-5 ID_1285638

Practice Question

The nurse is caring for a client with blanchable redness to the sacrum. Which intervention should help protect the client's skin?

Answer Choices:

A. The client should remain prone to prevent further damage

B. A hydrocolloid dressing can be applied to the sacrum ✓ Correct Answer

C. Remaining in a seated position for majority of the day

D. Checking sacral pressure every 24 hours

Correct Answer:

A hydrocolloid dressing can be applied to the sacrum

Rationale:

🛏️A blanchable redness indicates a stage 1 pressure injury, which requires early intervention to prevent breakdown.

🩹A hydrocolloid dressing provides a moist environment that protects tissue and promotes healing.

🚑It also reduces friction and shear forces while shielding against external contaminants.

👩‍⚕️This intervention is proactive in preventing progression of pressure injury to more severe stages.

📌Core Message

For stage 1 pressure injury, applying a hydrocolloid dressing protects the skin, reduces friction, and promotes healing.

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RN NUR Med-Surg Exam-5 ID_1285638

49 Questions

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Question Details

Category: RN Nursing Exams
Subcategory: EXAMPLIFY Practice (RN)
Domain: Med-Surg (RN Examplify)
Answer Choices: 4

Rhenis Nursing

Practice Question

The nurse is caring for a client with blanchable redness to the sacrum. Which intervention should help protect the client's skin?

Correct Answer:

Rationale:

Want to practice more questions like this?

More Questions from This Exam

The nurse is caring for a client who had a renal biopsy. For which complication should the nurse monitor the client during the first 24 hours after the procedure?

A nurse manager has to make a decision about scheduling. The manager involves the nurses on the unit and considers their input before making a decision. This is an example of which style of leadership?

According to Erikson's Stages of Psychosocial Development, which development task must be achieved for adults 65 and older?

The female client presents to the clinic with lower abdominal pain, vaginal discharge, and dysuria. The client is diagnosed with prostatitis. Which nursing intervention is the highest priority to prevent complications?

The nurse is caring for a client who has chronic kidney disease and is very weak due to low hemoglobin. What does the nurse understand is the best explanation for the anemia in the renal failure client?

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RN NUR Med-Surg Exam-5 ID_1285638

Question Details

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