The nurse is caring for a patient with a stage III pressure ...

[debasdf]

The nurse is caring for a patient with a stage III pressure ulcer. Which assessment findings are consistent with this stage of ulcer?
 
  a. A crater-like lesion
  b. Skin that does not blanch with fingertip pressure
  c. Presence of mottled skin
  d. Excoriation around the lesion

Question 2

The mother of a 4-year-old child reports concerns about how to completely rid her home of lice. Which response indicates that the mother needs further instruction?
 
  a. I should wash all bedding in hot water.
  b. I should re-treat my child's hair 1 week after the first application.
  c. I should discard my child's stuffed ani-mals.
  d. My children should not share hats or hairbrushes.

[Rilsmarie951]

Answer to Question 1

A
A stage III pressure ulcer presents as a crater-like ulcer and underlying subcutaneous tissue is involved in the destructive process. Skin that does not blanch with pressure or is mottled are findings consistent with a stage I pressure ulcer. Excoriation around the lesion is consistent with scratching or another abrasive force.

Answer to Question 2

C
For items that cannot be cleaned, such as some stuffed animals, sealing them in plastic bags with the air expelled for 14 days can be effective. Linens should be washed and dried on the hottest cycle. Application of alcohol-based lotion requires reapplication after 1 week. Sharing hats or hairbrushes increases the likelihood of lice transmission.