The Wound Care Nurse Visits a Patient in the Long-Term

question 4

Multiple Choice

The wound care nurse visits a patient in the long-term care unit. The nurse is monitoring a patient with a Stage III pressure ulcer. The wound seems to be healing, and healthy tissue is observed. How should the nurse document this ulcer in the patient's medical record?

• A) Stage I pressure ulcer
• B) Healing Stage II pressure ulcer
• C) Healing Stage III pressure ulcer
• D) Stage III pressure ulcer

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Definitions:

Improvising

The art of creating and performing spontaneously or without preparation.

Continual Adjustments

An ongoing process of making small changes or modifications to improve or maintain performance in response to changing conditions or feedback.

Unfreezing

The process within change management that involves overcoming inertia and dismantling the existing "mindset" to overcome resistance to change.

Changing

The process or act of making something different, often in the context of improvement or adaptation.