Nurse Caring Year Question & Answer Guide (With Explanation)
This type of question evaluates analytical and critical thinking skills.
What This Question Is About
This question relates to nurse caring year and requires a structured academic response.
How to Approach This Question
Use appropriate theories and support your answer with clear reasoning.
Key Explanation
This topic involves nurse caring year. A strong answer should include explanation, application, and examples.
Original Question
The nurse is caring for a 66-year-old client with a history of mild hearing loss and multiple sclerosis who is wheelchair-bound. The client is recovering from pneumonia and has developed a right trochanteric Stage 4 pressure injury at home. They have been receiving daily wound care and the wound is healing slowly. The client performs scheduled urinary catheterizations and adheres to a daily bowel program. The client’s dietary intake has been fair to good at home and is supplemented by protein drinks. Which actions should the nurse take regarding tunneling of the wound? Select all that apply.​Measure the depth of tunneling using a tongue depressor.​Measure the depth of tunneling using a sterile swab.​Measure the depth of tunneling in millimeter increments.​Measure tunneling with each wound assessment.​Document tunneling using the ceiling as a reference point.​
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