1. The nurse is caring for a client with a Stage IV pressure ulcer. During the dressing change the nurse notes which of the following characteristics? Select all that apply.

2. The nurse writes the problem “impaired skin integrity” for a client with stage IV pressure ulcers. Which interventions should be included in the plan of care? Select all that apply.

3. The nurse is providing diet instructions for a client with acne rosacea. Which of the following describes the most appropriate dietary restrictions? Select all that apply:

4. The nurse explains to the family that a family member needs to have an escharotomy. The nurse includes which of the following statements in the explanation?

5. In obtaining a health history on a client with psoriasis, which recent infection is significant?

6. The nurse is caring for several 70-80 year-old clients on bed rest. What is the MOST important measure to prevent skin breakdown?

7. The nurse would include which of the following priority interventions in the plan of care for a client diagnosed with herpes zoster?

8. The school nurse is discussing impetigo with the teachers in an elementary school. One of the teachers asks the nurse, “How can I prevent getting impetigo?” Which statement would be the most appropriate response?

9. The nurse is caring for a client with an infected Stage 4 pressure ulcer with a significant amount of eschar formation. In planning care the nurse considers that which nursing intervention(s) would be appropriate for this client? Select all that apply.

10. The client has tinea pedis. Which intervention should the nurse teach to the client?

11. The nurse is caring for a client who has developed stage IV pressure ulcers on the left trochanter and coccyx. Which collaborative problem has the highest priority?

12. The nurse is assessing a dark-skinned client for signs of jaundice. The nurse can best detect jaundice in the client by examining which of the following features?

13. A client with full thickness burn injury is scheduled for a skin graft. Which one of the following grafts is taken from an animal source?