Answer Happy

Question 45 (1.5 points) The nurse has taught a patient measures to avoid complications associated with urinary elimination. Which of the following indicates to the nurse that the expected outcome is achieved? The patient Identifies symptoms of and measures to prevent urinary tract infection Is able to perform perineal care by self Maintains proper disposal of urinary output Takes regular tub baths and appropriate personal hygiene measures
Question 46 (1.5 points) A home-visiting nurse is seeing an elderly patient whose ileostomy has a high amount of output. The nurse notes that the patient's poor vision caused them to cut the opening to their ostomy appliance much larger than the size of their stoma. Which nursing diagnosis below would be a priority for this patient? a Fluid volume excess Risk for activity intolerance Risk for infection Impaired skin integrity
Question 47 (1.5 points) The nurse notes the following wound on the patient's sacrum. The wound is covered with thick yellow slough. How should the nurse describe this wound? Unstageable Stage 3 pressure injury Stage 4 pressure injury Deep tissue injury