A nurse is assessing the wound in the right hip of a client ...

[olgavictoria]

A nurse is assessing the wound in the right hip of a client following surgery. The wound has clean edges. How should the nurse document the wound in the electronic medical record?
 
  A) Incision
  B) Abrasion
  C) Laceration
  D) Puncture

Question 2

The nurse has applied a bandage to a lower extremity on a client. The nurse has to evaluate the status of the extremity encased in the bandage by completing a peripheral neurovascular assessment with the RN.
 
  What observations and assessment have to be completed as part of the peripheral neurovascular assessment? 1 . Skin color
   2 . Toe motion
   3 . Sensation in toes
   4 . Proximal pulses
  A) 1, 2, 3
  B) 1, 2, 4
  C) 1, 3, 4
  D) 2, 3, 4

[mtmmmmmk]

Answer to Question 1

A
Feedback:
An incision is a wound with clean edges. A wound with torn, ragged edges should be documented as a laceration. Abrasion is the rubbing off of the skin's surface. A puncture is a deep stab wound.

Answer to Question 2

A
Feedback:
Observations and assessment to be completed as part of the peripheral neurovascular assessment include skin color, toe motion, sensation in the toes and distal pulses.

[olgavictoria]

Gracias!

[debra928]

Thanks for the timely response, appreciate it