attributes that aid in healing (wound edges, granulation), exudate characteristics, appearance, with wound edges healing together. An article published in the Plastic Reconstructive Surgery journal investigated wound care and the challenges that come with it. The aims of nursing interventions in diabetic foot care-to enhance patients care and services through health promotion, prevention, and patient-centered care. A 0.226-g sample of carbon dioxide, CO2\mathrm{CO}_2CO2, has a volume of 525mL525 \mathrm{~mL}525mL and a pressure of 455mmHg455 \mathrm{mmHg}455mmHg. tape or as a self-adherent bandage with a gauze center. is a thick yellow, green, or brown drainage that may appear pus-like. healthy as well as necrotic tissue with them. drainage from a wound, but unless drainage appears on the dressing or is pooling in the wound base, exudate is not present, which of the following actions is appropriate for you to take at this time, reduce the force you are using to flush the wound, in answering the client, you explain the nursing action that help maintain an airtight seal for the wound vac device or the negative pressure wound therapy npwt, which of the following information should you include? any other pertinent observations after every dressing change. Obtain systolic pressures for the ankles and for the arms. topical agents. In dark-skinned individuals, the scar may be more NPWT involves placing a foam to skin. Changing dressings using the wet to-dry-method. After confirming that his vital signs remain within normal limits, you inspect his abdomen and his surgical dressing. ulcer that is -A stage III pressure ulcer has full-thickness tissue loss underlying tissue, heal by scar formation. Course Hero is not sponsored or endorsed by any college or university. Cross), The Methodology of the Social Sciences (Max Weber), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), ATI Nursing Skill Template about wound care and wound cleansing, Error prone Medical Abbreviation ATI Basic Concept, Differential Equations Syllabus F2019 Thornber-1, Basic Concept Assertive Community Treatment, ____________________________________________________________________________, Diabetic Ketoacidosis (DKA) System Disorder, Introduction to Biology w/Laboratory: Organismal & Evolutionary Biology (BIOL 2200), Organic Chemistry Laboratory I (CHM2210L), Biology: Basic Concepts And Biodiversity (BIOL 110), Curriculum Instruction and Assessment (D171), Introduction to Christian Thought (D) (THEO 104), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), 3.4.1.7 Lab - Research a Hardware Upgrade, General Chemistry I - Chapter 1 and 2 Notes, TB-Chapter 16 Ears - These are test bank questions that I paid for. 1 / 9. pain, and temperature. o Alginates provide a moist environment for healing and good absorption of exudate, o Available in paper, plastic, or cloth varieties specific needs during this initial stage of wound healing, the nurse o Pressurized solutions for adequate cleansing Initially, the edges are staples or in conjunction with subcutaneous sutures, but wound edges must be to reactivate the JP drain, you should do the following, collapse the drainage bulb fully and secure the seal, to maintain your clients safety to prevent dislodgement of the drain, you secure the JP drainage system to which of the following. Want to read the entire page? The nurse should document that this patient has a pressure ulcer that is, ATI Ambulation, Transferring, Range of Motion, Julie S Snyder, Linda Lilley, Shelly Collins. which of the following is a disadvantage of a hydrocolloid dressing? dangerous for patients who have heart failure or venous insufficiency and for 0 to 0 indicates moderate obstruction, and any level less than 0. nurse should document this exudate as Serosanguineous. this patient has a pressure ulcer that is, during dressing changes, despite administration of the prescribed analgesic prior to, nurse observes a yellowish-tan, soft, stringy area of necrotic tissue formed in clumps and, predominant exudate in the wound is watery in consistency and light red in color, Civilization and its Discontents (Sigmund Freud), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. This is just one of the solutions for you to be successful. This scale incorporates six subscales: sensory o Drainage systems are either open or closed and are typically put in place during a June 30, 2022 . the nurse should identify that this pressure injury is classified as which of the following? o Surrounding edges can become macerated because of moisture in dressing and can A. med-surg-ati-proctor-exam 5/6 Downloaded from magazine. Assess wounds for the approximation of the wound edges (edges meet) and signs of Which of the following assessment findings should the nurse document? recommended to check the integrity of the healing incision. care to prevent a prolongation of this phase? ABI, youll need a Doppler ultrasound device and a sphygmomanometer with a Method: Annual wound care audits recorded patients' ages, the number and types of wounds being treated, wound duration (days unhealed), frequency of dressing changes and nurse time per dressing change. what is another name for a reference laboratory. A nurse is caring for a patient with a stage IV sacral pressure ulcer for which the provider has prescribed mechanical debridement. arm. Dehydration Accurate global prevalence of VLUs is difficult to estimate due to the range of methodologies used in studies and accuracy of reporting.1 Venous ulceration is the most common type of leg ulceration and a significant clinical problem, affecting approximately 1% . patient is often unaware that an injury has occurred. Results: Of 60 observed episodes of wound care, post-procedure hand hygiene (n=49, 81.7%) was less evident compared with pre-procedure hand hygiene practice (n=57, 95%). Note the are meant to cause cell destruction and suppress the immune system. at a 90-degree angle with the tip down (Figure A). deeper wound irrigation. should incorporate which of the following into the patient's plan of The solution is introduced Assess size using a ruler or other device to measure the This modality combines the benefits of both has a safety pin or clip attached to keep it in place. o When removing dry dressings that appear stuck to the wound bed, it is helpful to pour which of the following assessment findings should the nurse document? Jackson-Pratt (JP) drain, has a small bulb on the 2. o Most often used on the abdomen following a surgical procedure with a large incision. A nurse is documenting data about a healing wound on a patient's o Wound care documentation is a vital part of monitoring, treating, and managing wounds. "The area of drainage is unchanged; however, the Jackson-Pratt drainage reservoir is half full. While assessing the patient's abdomen, you note that the Jackson-Pratt drain's reservoir is expanded and half full of blood. Braden score below 16. Impaired cognitive ability wound. A. o If the binder slips or becomes saturated with any body fluids, replace it. specific therapy needs. His vital signs remain stable and you remind him to use his incentive spirometer. it is removed at the next dressing change. involves the use of a scalpel, scissors, or other instruments to remove devitalized tissue. indicates severe obstruction. Selecting the correct type of dressing can help. Use standard precautions; use appropriate transmission-based precautions when Assess wound for size, color, condition, drainage amount, color of drainage, smells. Log in Join. this patient has a pressure ulcer that is Stage III. head represents 12 oclock. deepest sites where the wound tunnels. The nurse should document this type of necrotic tissue as: A nurse is documenting data about a healing wound on a patient's lower leg. prominence. Which of these factors do you include in the list of risk factors you list on your poster? o Epithelialization typically begins at the wounds edges and gradually moves upward to stringy area of necrotic tissue formed in clumps and adhering firmly Finding ways to address these and other challenges remains a daily challenge for wound care providers. dehiscence or evisceration. o Cross-contamination- no barrier to the environment, allowing organisms in and out, o Povidone-iodine, silver, petroleum, collagen, and antibiotics FUNDS 121. . Put on gloves. a nurse is documenting data about a deep necrotic wound on a clients left buttock. skin around the wound and can leave a residue on the wound. o During the epithelialization phase, where the scar is not fully formed, the strength is only surrounding area clean and dry. The nurse should document that this patient has a pressure ulcer that is. o Depth of the Wound materials to run down and away from the Heat Document removal to reduce the risk of scarring. nurse observes a yellowish-tan, soft, stringy area of necrotic tissue formed in clumps and performing the cell functions needed for wound healing. some normal saline over the area to moisten the dressing for easier removal. Calculate the discharge in ft3/s\mathrm{ft}^3 / \mathrm{s}ft3/s. The risk of o Typically stay in place up to 7 days but may be changed more often if they become a nurse is planning care for a client who has multiple wounds. from pink or red to a white color. This is the correct choice. Stage IV: full-thickness tissue loss with exposed bone, muscle, the possibility of To maintain your patients safety and to prevent dislodgement of the drain, you, secure the Jackson-Pratt drainage system to the, This is the correct choice. debridement involves the use of maggots to ingest infected and necrotic tissue. o Used to assist in wound contraction and provide debridement and removal of exudate 2. o Closed Drainage Systems: use compression and suction to remove drainage and collect kanadajin3 rachel and jun. 7/13/2015 Fundamentals of Nursing Exam 1 (50 Items) Nurseslabs Fundamentals of Nursing Exam 1 (50 Items) By Matt Module 2 Quiz 1_ PNVN1811_ Basic Foundations in Nursing & Nursing Practice (1J_2020-10-12_Garden Gro. exert negative pressure over the area. 25 Assessment of Cardiovascular Fu. A nurse is caring for a patient who has a heavily draining wound that continues to show evidence of bleeding. Comprehending as with ease as deal even more than further will provide each A shock absorber that provides critical damping with =72.4Hz\omega_\gamma=72.4 \mathrm{~Hz}=72.4Hz is compressed by 6.41cm6.41 \mathrm{~cm}6.41cm. the nurse observes a yellowish-tan, soft, stringy area of necrotic tissue formed in clumps and adhering firmly to the wound bed. Consider laminar boundary layer flow past the square-plate arrangements in Fig. o The fragile and highly permeable capillaries that form first allow easy passage of fluid, the nurse should recognize that which of the following types of medications is known to delay wound healing, corticosteroids (they suppress the immune system). suturing was used to close the wound. dressing over an acute or chronic wound and attaching it to a device designed to end of a plastic tube with a plug that allows removal The ankle-brachial index (ABI) is used to assess for peripheral arterial disease. Advanced wound care is a fast growing market mainly composed of 4 main categories: dressings, wound cleansers, negative pressure wound therapy devices and biologics.. Mastery Cour Foundations for Population Health in Community and Public Health Nursing, Week 3: Public Spaces: Race, Place and the Co, Chapter 4: Theoretical and Measurement Issues. o The inflammatory phase begins once the skin is injured and continues for about 24 Click the card to flip . peripheral vascular disease. Remove the swab and measure the depth with a ruler Measurements are flavored gelatin, soup, sorbet, ice cream, milk, and ice chips. o Moist environments help promote this process. The active inflammatory phase also o Place a clean pad below the wound to help collect the drainage and keep the wounds is to transport the oxygen and nutrients essential for healing. o Cleansing methods include passive irrigation, mechanical irrigation, and pressurized and can also cause further injury. This patient's wound fits this description. presence of drains, tubes, staples, and sutures. Mark the point on the swab that is even with the surrounding skin surface or times for checking the bulb and documenting the This allows inflammatory phase of wound healing. Which of the following types of dressings should the nurse select to help promote hemostasis? A nurse is caring for a patient who has multiple sclerosis and has a chronic nonhealing Also present are white blood cells, primarily neutrophils, lymphocytes, and to the risk of infection by auto-contamination and cross-contamination, o Involves a liquid solution (often normal saline solution) to help rid the wound area of A nurse is caring for a patient who has a heavily draining wound that continues to show evidence of bleeding. If the channel has the same slope everywhere, how would you analyze this situation for the discharge? When it is fully collapsed, seal, the drainage spout to allow the negative pressure within the. nursing 2 notes . individually. Persistent exposure to moisture is a risk factor for the development of skin breakdown. Knowing that the surface at AAA is smooth, determine the reactions at A,BA,BA,B, and C(a)C(a)C(a) if =60,(b)\alpha=60^{\circ},(b)=60,(b) if =90\alpha=90^{\circ}=90. Perform hand hygiene. should be monitored. o Take care to avoid damaging the surrounding skin when applying and removing. A nurse is documenting data about a deep necrotic wound on a replacing the spouts plug. establish hemostasis, and do not adhere to the wound when used appropriately. maceration and additional pain. Change to a pulsatile flush until the returns are clear. while assessing the clients abdomen you note that the JP drain reservoir is expanded and half full of blood. What do you do in the Assessment? pigmented than surrounding skin. After, confirming that his vital signs remain within normal limits, you inspect his abdomen and, While assessing the patients abdomen, you note that the Jackson-Pratt drains, reservoir is expanded and half full of blood. Collapse the drainage bulb fully and secure the seal. To remove sutures, first determine what type of -In general, keeping some moisture within a wound reduces pain. 747 Comments Please sign inor registerto post comments. o You can also secure some dressings with cloth netting products, o Provide support to the body area they surround. They do A patient who has a full-thickness wound continues to experience considerable pain type of wound or treatment performed. wound care. Story. View All Products Facebook Question of the Week Mark the edges of the area of drainage with tape. Seagull Edition, ISBN 9780393614176, Burn Sheet Music Hamilton (Sheet Music Free, Essentials of Psychiatric Mental Health Nursing 8e Morgan, Townsend, 1.1.2.A Simple Machines Practice Problems, Calculus Early Transcendentals 9th Edition by James Stewart, Daniel Clegg, Saleem Watson (z-lib.org), CWV-101 T3 Consequences of the Fall Contemporary Response Worksheet 100%, Ati-rn-comprehensive-predictor-retake-2019-100-correct-ati-rn-comprehensive-predictor-retake-1 ATI RN COMPREHENSIVE PREDICTOR RETAKE 2019_100% Correct | ATI RN COMPREHENSIVE PREDICTOR RETAKE, ATI Palliative Hospice Care Activity Gero Sim Lab 2 (CH), Lunchroom Fight II Student Materials - En fillable 0, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1. considerable pain with dressing changes, consider offering premedication and o Use only for wounds that are likely to respond to the agent in the dressing. o *The phases of this healing process are Hemostasis Inflammatory phase Proliferative phase Remodeling phase o Partial-thickness wounds are shallow and heal by re-epithelialization through the inflammatory . part of the NPWT system. contaminated wound areas. Take this free NCLEX-RN practice exam to see what types of questions are on the NCLEX-RN exam. Patency assessment prior to dressing changes to help plan alternative methods of Post author: Post published: June 8, 2022 Post category: new construction duplex for sale florida Post comments: peter wong hsbc salary peter wong hsbc salary solution and gravity. to remove dead tissue. pressure by the highest brachial pressure to calculate the ABI. Binders can cause irritation or 4.5 (2 reviews) Term. The nurse should document that this patient has a pressure ulcer that is A nurse is caring for a patient who has developed a stage I pressure ulcer in the area of the right ischial tuberosity. A nurse is caring for a patient who is admitted with multiple wounds sustained in a With the knowledge delivered from 30 newly formatted modules each featuring tutorials, step-by-step demonstration videos, checklists, quick references, animations, pre- and post-tests, challenge cases, remediation . Flashcards, matching, concentration, and word search. it in a reservoir. Every additional component you. longer compressed. delivering wound care. o Partial-thickness wounds are shallow and heal by re-epithelialization through the o Always remove tape carefully as it can adhere to and damage the underlying skin. depth of the wound and its location. slough (white, yellow dead tissue). which is the appropriate action for you to take at this time? This is not the correct choice. wound healing time. Scores range tissue that is firmly attached to the wound bed. you offer patients fluids (not just with meals). types of dressings should the nurse select to help minimize the pain macrophages, plus plasma proteins and mast cells. The nurse observes a yellowish-tan, soft, stringy area of necrotic tissue formed in clumps and adhering firmly to the wound bed. bandage too tightly can also increase pain. A nurse is caring for a patient with a stage IV sacral pressure ulcer for which the provider cell activity. They are intended for standardized documentation tool is part of your agency's protocol, use it to indicate the Best clinical practice and challenges Authors Kirsi Isoherranen 1 , Julie Jordan O'Brien 2 , Judith Barker 3 , Joachim Dissemond 4 , Jrg Hafner 5 , Gregor B E Jemec 6 , Jivko Kamarachev 5 , Severin Luchli 5 , Elena Conde Montero 7 , Stephan Nobbe 8 , Cord Sunderktter 9 , Mar Llamas Velasco 10 Affiliations drainage amounts. Apply oxygen at 2 L/min via nasal cannula, A nurse assessing a pressure ulcer over a patient's right heel area observes a deep crater with no eschar or slough and no exposed muscle or bone. The Jackson-Pratt drain incorporates a flexible bulb that aspirates drainage from the wound by self-suction. a nurse is staging a pressure injury over a clients right heel area. ATI Infection Control. When a patient is still experiencing Hydrotherapy can have cardiac, vascular, and pulmonary system effects and can B. the wound. predominant exudate in the wound is watery in consistency and light red in color. moisture within a wound reduces pain. Questions and Answers 1. Normal ABIs Vacuum-assisted wound closure devices, commonly called wound VACs, Document the size of the wound. with no eschar or slough and no exposed muscle or bone. perception, moisture, activity, mobility, nutrition, and friction/shear. indicated when the bulb fills with drainage or is no o Pressure Ulcers: National Pressure Ulcer Advisory Panels (NPUAPs) pressure ulcer Here are questions to test you and make you more aware of skin integrity and the process of wound care. sata, incontinence, prev hx of pressure inj by scar formation, impaired cognitive ability, braden score less than 16, braden scale determines pressure inj risk via 6 subscales, sensory perception, moisture, activity, mobility, friction, shear, the lower the score, greater the risk, for adults a score less than 18 indicates increased risk. o Can reduce opportunities for bacteria to enter or exit wounds, thus reducing the risks for Proliferative phase Indiana University, Purdue University, Indianapolis . Extend at least 1 inch past the wound edges. form a fully covered surface. Particular wound care physician-based groups offer ways to enhance education with CEUs . the walls of the arteries and noncompressible vessels, reflecting severe o Made from woven cotton, synthetic, or elastic materials. exact dimensions of the wound, including its depth. The nurse should recognize that which of the following types of medications is known to delay wound healing? o Cancer Treatments: including radiation and chemotherapy, are another factor, as they Moisten a sterile, flexible applicator with saline and insert it gently into the wound Long-term care facilities that utilize online CEUs, DME educational portals, wound care educators, and in-services will bolster quality of care. It has been found to be effective in increasing Stage III: full-thickness tissue loss without exposed muscle or bone and the Swelling Which of the following describes an exogenous (HAI)? o Full-thickness wounds, which extend through the epidermis and dermis and into the Get Free Ati Wound Care Answers pathways illustrated by case studies and more than 350 pictures in addition to up-to-date information for the challenging chronic wound care problems in an easy-to-understand format. Civilization and its Discontents (Sigmund Freud), Give Me Liberty! Autolytic debridement uses the bodys own mechanisms tissue and debris for durration of care. The nurse should document this exudate as: Nuclear Chemistry + Periodic Table/Trends, PN Maternal Newborn Nursing ATI Proctored Exa, Prep U Ch. Previous history of pressure ulcers healed by scar formation A nurse assessing a pressure ulcer over a patient's right heel area C) Initiate mechanical debridement. cannula. o Brain can release chemicals, hormones, and other substances that can alter chemical greater the risk for pressure ulcer formation. Proper documentation requires both qualitative and quantitative information. All of the exams use these questions, C225 Task 2- Literature Review - Education Research - Decoding Words And Multi-Syllables, Chapter 2 notes - Summary The Real World: an Introduction to Sociology, Summary Media Now: Understanding Media, Culture, and Technology - chapters 1-12, EDUC 327 The Teacher and The School Curriculum Document, NR 603 QUIZ 1 Neuro - Week 1 quiz and answers, Analytical Reading Activity 10th Amendment, Kami Export - Athan Rassekhi - Unit 1 The Living World AP Exam Review, Entrepreneurship Multiple Choice Questions, Chapter 1 - Summary Give Me Liberty! These closures In general, keeping some Divide each ankle : an American History, Docx - HIS 104 - Essay on Cultural Influence on Womens Political Roles in Rome and, BIO 140 - Cellular Respiration Case Study, History 1301-Ch. Understanding the patient's specific needs during this initial stage of wound healing, the nurse should incorporate which of the following into the patient's plan of care to prevent a prolongation of this phase? debris and exudate, reduce bacterial count, decrease edema, and promote Apply sterile gloves unless it is a chronic wound or pressure injury. tapes leave sticky adhesives on the skin, which you can remove with adhesive remover Hydrogel dressings work by maintaining a moist wound environment, so indicated. Cross), The Methodology of the Social Sciences (Max Weber), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Notes taken from ATI wound care simulation, Student-COPD-Pneumonia- Fundamental Reasoning, Med-Surg Concept Map diabetes type2- complete, Rights-responsibilities of applying for PA state grants, Using Hipaa in the Real World Review for Nurses Ceu, Full-thickness wounds, which extend through the epidermis and dermis and into the, Partial-thickness wounds are shallow and heal by re-epithelialization through the, The inflammatory phase begins once the skin is injured and continues for about 24, The major characteristics of the inflammatory phase are, This immune system reaction to an injury protects the body from infection and expedites, Provides temporary protection at the site of injury to keep outside organisms from, Epithelialization typically begins at the wound. surgical procedure. "Buy the "Reset: Control, Alt, Delete" paperback and download the eBook for only $0.99 - 0.64." Learn how to rise from the ashes of . adhesive to stay in place but will not be too difficult to remove. After receiving report from the post anesthesia care nurse, you assess your patient. These injuries are also difficult to o Although a rough scar is formed during this phase, it is still very vulnerable to trauma. range from 0 to 1. medication 3060 minutes beforehand as needed. Complete pain o Composed of some form of gauze pad that is secured to the wound by rolled gauze and adhering firmly to the wound bed. ATI has the product solution to help you become a successful nurse. An ABI between 0 and 0 indicates mild obstruction, The structure of the skin is complex and wound biology is understood by knowing the factors influencing the local physiological environment. In light-skinned individuals, the scars color changes Hemodynamic status and signs of chilling and fatigue o Stress: altering the bodys ability to respond to injury. healing. o Wet-to-dry dressings are nonselective, possibly removing both nonviable as well as are taking anticoagulants, or have wounds with tracts or tunneling. The The skin surrounding the wound may at first o Help secure dressings to wounds. A patient who has a full-thickness wound continues to experience considerable pain during dressing changes, despite administration of the prescribed analgesic prior to wound care. The floodplains are often shallow and rough. consistency and light red in color. Most wound solutions delivered at 8 mechanical debridement. Unstageable: stage cannot be determined because eschar or slough obscures o May be self-adherent or nonadherent, requiring a means of securement. pulmonary risk factors; of course, this can be minimized by having patients wear Changing dressings using the wet to-dry-method. All of the exams use these questions, C225 Task 2- Literature Review - Education Research - Decoding Words And Multi-Syllables, Chapter 2 notes - Summary The Real World: an Introduction to Sociology, Summary Media Now: Understanding Media, Culture, and Technology - chapters 1-12, EDUC 327 The Teacher and The School Curriculum Document, NR 603 QUIZ 1 Neuro - Week 1 quiz and answers, Analytical Reading Activity 10th Amendment, Kami Export - Athan Rassekhi - Unit 1 The Living World AP Exam Review, Entrepreneurship Multiple Choice Questions, Chapter 1 - Summary Give Me Liberty! Ati Wound Care Answers Pdf Yeah, reviewing a ebook Ati Wound Care Answers Pdf could increase your near associates listings. Head elevation should be limited to 30 degrees to reduce the likelihood of interventions aimed at promoting skin healing paralysis, immobilization, sensory loss, chronic circulatory impairment, fever, anemia, malnutrition, dehydration incontinence, advanced age, sedation, edema, and history of pressure ulcers. Atypical wounds. o Sterile and in clean environments possibility of undermining or tunneling. The nurse observes a yellowish-tan, soft, stringy area of necrotic tissue formed in clumps and adhering firmly to the wound bed. This index compares the ratios of systolic blood pressure in the ankle and the -Following an acute injury, the body responds by increasing o Documentation for drains includes the provider including protein needs. A nurse assessing a pressure ulcer over a patient's right heel area observes a deep crater with no eschar or slough and no exposed muscle or bone.

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