The nurse is caring for a client who previously had a sacral ...

[humphriesbr@me.com]

The nurse is caring for a client who previously had a sacral pressure ulcer, which is now completely healed. In developing the risk profile for skin breakdown, the nurse recognizes that a prior pressure ulcer will:
 
  1. Heal faster with reinjury.
   2. Break down faster with reinjury.
   3. Have no sensation in the injured area.
   4. Be at risk for infection even with intact skin.

Question 2

An adult patient is lying on the floor unresponsive. The nurse should initially
 
  a. start CPR c. assess for respirations
  b. open the airway d. give two slow, full breaths

[joechoochoy]

Answer to Question 1

2. Break down faster with reinjury.

Rationale:
Scarred wounds never reach their prewound strength and, therefore, are more prone to reinjury than normal tissue. Sensation does return, and even though there is risk for breakdown, intact skin does not increase risk for infection.

Answer to Question 2

B
If finding an adult patient unresponsive on the floor, the nurse should first open the patient's airway in order to assess for respirations and prior to administering breaths. The assessment of the airway must be done before starting CPR.