ATI Detailed Answer Key Medical Surgical Related

Review ATI Detailed Answer Key Medical Surgical related questions and content

While caring for an unconscious patient, the nurse discovers a stage 2 pressure ulcer on the patient’s heel. During care of the ulcer, what is the nurse’s understanding of the patient’s perception of pain?

  • A. The patient will have a behavioral response if pain is perceived.
  • B. The area should be treated as a painful lesion, using gentle cleansing and dressing.
  • C. The area can be thoroughly scrubbed because the patient is not able to perceive pain.
  • D. All nociceptive stimuli that are transmitted to the brain result in the perception of pain.
Correct Answer: B

Rationale: The correct answer is B. Even in unconscious patients, the area should be treated gently to avoid exacerbating potential pain.