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NUS 201 LPN to RN Transitions Questions with Verified
Answers
• The nurse is assisting a client with a sitz bath. Which actions should the
nurse perform?
Select all that apply. Fill the bowl of the sitz bath about halfway full with
tepid to warm water, Insert tubing into the infusion port of the sitz bath,
Slowly unclamp the tubing and allow the sitz bath to fill, Ensure that the
call bell is within reach
• The nurse is performing an assessment of a client's full thickness pressure
injury to the coccyx. The nurse observes that the wound bed is black and
will consequently document what finding? Eschar
• A 9-year-old child is brought to a health care facility after a fall on the
playground. The nurse notes that surface layers of the skin have been
scraped away in the fall. How would the nurse address this wound? Cleanse
the area with soap and water
• The nurse is preparing to measure the depth of a client's tunneled
wound. Which implement should the nurse use to measure the depth
accurately? a sterile, flexible applicator moistened with saline
• The nurse observes the presence of intestinal contents protruding
from the client's surgical wound after colon resection. What action will
the nurse take? Apply saline solution–moistened gauze over the
protruding area
• The nurse is caring for a client who has a wound to the right forearm
following a motor vehicle collision. The primary care provider has ordered
culture of the wound. Which action should the nurse perform in obtaining
a wound culture? Keep the swab and the inside of the culture tube sterile
prior to collecting the culture
• Collection of a wound culture has been ordered for a client whose
traumatic hand wound is showing signs of infection. When collecting this
laboratory specimen, which action should the nurse take? Rotate the swab
several times over the wound surface to obtain an adequate specimen
• A nurse is caring for a client with quadriplegia. Which intervention by the
nurse will prevent a heel or ankle pressure injury for the client? Placing the
