Author Question: The nurse learns in report that the assigned patient has a stage III pressure ulcer. What type of ... (Read 28 times)

gbarreiro · **on:** Jul 22, 2018

The nurse learns in report that the assigned patient has a stage III pressure ulcer. What type of tissue does the nurse expect to find in the wound? Select all that apply.

a. Muscle
b. Eschar
c. Subcutaneous
d. Dermis
e. Fascia

Question 2

While a patient is receiving hygiene care, her chest tube becomes disconnected from the water-seal chest drainage unit (CDU). Which action should the nurse take immediately?

a. Clamp the chest tube close to the insertion site.
b. Set up a new drainage system, and connect it to the chest tube.
c. Have the patient take and then hold a deep breath while the nurse reconnects the tube to the CDU.
d. Place the disconnected end nearest the patient into a bottle of sterile water.