A Nurse Is Caring for a Client Who Has a Pressure

question 26

Multiple Choice

A nurse is caring for a client who has a pressure ulcer on the right ankle.Which action should the nurse take first?

• A) Draw blood for albumin, prealbumin, and total protein.
• B) Prepare for and assist with obtaining a wound culture.
• C) Place the client in bed and instruct the client to elevate the foot.
• D) Assess the right leg for pulses, skin color, and temperature.

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Definitions:

Suckling

The act of an infant drawing milk from the breast or bottle, a natural reflex necessary for nourishment in early life stages.

Myelin sheath

A fatty layer that surrounds the axons of some nerve cells, serving to speed up electrical impulses.

Electrically charged atoms

Atoms that have either lost or gained electrons, resulting in a net positive or negative charge, respectively, known as ions.

Neurotransmitters

Chemical messengers in the body that transmit signals across a chemical synapse, from one neuron to another target neuron, muscle cell, or gland cell.