Asked by Nikki Haynes on Apr 29, 2024
Verified
The nurse is completing a skin assessment on a patient with darkly pigmented skin. Which item should the nurse use first\bold{first}first to assist in staging an ulcer on this patient?
A) Disposable measuring tape
B) Cotton-tipped applicator
C) Sterile gloves
D) Halogen light
Darkly Pigmented Skin
Skin that has a high level of melanin, giving it a darker appearance compared to skin with lower melanin levels.
Ulcer Staging
A classification system used to assess the severity and depth of pressure ulcers.
Halogen Light
A type of lighting that uses halogen gas within its bulbs to increase light output and efficiency compared to incandescent bulbs.
- Develop a comprehensive skin and wound assessment skill set.
Verified Answer
NF
Nurul FarhanaMay 02, 2024
Final Answer :
D
Explanation :
When assessing a patient with darkly pigmented skin, proper lighting is essential to accurately complete the first step in assessment-inspection-and the entire assessment process. Natural light or a halogen light is recommended. Fluorescent light sources can produce blue tones on darkly pigmented skin and can interfere with an accurate assessment. Other items that could possibly be used during the assessment include gloves for infection control, a disposable measuring device to measure the size of the wound, and a cotton-tipped applicator to measure the depth of the wound, but these items are not the first items used.
Learning Objectives
- Develop a comprehensive skin and wound assessment skill set.
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