The nurse would recognize which of these devices as an open ...

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The nurse would recognize which of these devices as an open drainage system?
 
  A) Penrose drain
  B) Jackson-Pratt drain
  C) Hemovac
  D) Negative pressure dressing

Question 2

The wound care clinical nurse specialist has been consulted to evaluate a wound on the leg of a client with diabetes. The wound care nurse determines that damage has occurred to the subcutaneous tissues; how would she document this wound?
 
  A) Stage I pressure ulcer
  B) Stage II pressure ulcer
  C) Stage III pressure ulcer
  D) Stage IV pressure ulcer

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Answer to Question 1

Ans: A
A Penrose drain is an open system that lacks a collection device. Jackson-Pratt drains, Hemovacs, and negative pressure dressings all utilize a suction device or collection reservoir and are considered to be closed systems.

Answer to Question 2

Ans: C
Damage to the subcutaneous tissue indicates a stage III ulcer. Extensive destruction associated with full-thickness skin loss is categorized as a stage IV pressure ulcer. A stage I ulcer is a defined area of persistent redness in lightly pigmented skin and a persistent red, blue, or purple hue in darker pigmented skin. A stage II pressure ulcer is superficial and may present as a blister or abrasion.

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TYSM

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Gracias!