Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
53. What type of dressing should a nurse use on a stage I pressure ulcer?
Test-Taking Tip
Know the depth of tissue involvement with each stage to select the type of dressing.
Content Area: Adult Health, Integumentary; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Physiological Adaptation/Illness Management
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
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Answer 1 is incorrect because any dressing that is wet could potentially cause more damage. Answer 2 is incorrect because a wet dressing could macerate the skin. Answer 3 is incorrect because this probably would not harm the area, but observation of the site is easier without a dressing. Answer 4 is correct because no dressing is needed for a stage I pressure ulcer because the skin is intact. Just turn the client frequently and keep pressure off the area.