The nurse assists in the surgical removal of eschar from a ...

[shofmannx20]

The nurse assists in the surgical removal of eschar from a trochanter pressure ulcer revealing the bone and tendons. The nurse correctly stages this ulcer as what stage?
 
  A) Stage 1
  B) Stage 2
  C) Stage 3
  D) Stage 4

Question 2

Which information should be taught to patients starting on anticoagulant therapy? (Select all that apply.)
 
  a. Increase the dose of Aspirin for better therapy.
  b. Take medication at the same time each day.
  c. Report to physician cuts that do not stop bleeding with direct pressure.
  d. No restrictions for food or drink.
  e. Report for prescribed blood tests (PTT, INR, CBC, blood sugar).

[chloejackso]

Answer to Question 1

D
Feedback:
With stage 4 the subcutaneous tissue is lost, exposing muscle, bone, or both. Eschar must be removed to fully stage and treat a pressure ulcer.

Answer to Question 2

B, C
Aspirin should not be used with anticoagulant therapy because it will increase bleeding. Gums, nosebleeds, excessive bruising, and cuts that do not stop bleeding with direct pressure should be reported to the physician. Alcohol and dark green and yellow vegetables should be avoided because they contain vitamin K. Normal blood tests for anticoagulant therapy are PTT, INR, and PT.