Comprehensive Real Exam Questions And Verified Answers
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A nurse is caring for a client who has a deep foot wound with
minimal exudate and necrotized tissue. For which of the
following dressing types should the nurse anticipate a
prescription to cover the wound? - ANSWER-Hydrogel
Rationale: can be used for debridement of wounds with
necrotized tissue and
eachars, and causes minimal trauma to the healing wound bed.
Hydrogels work
differently than other dressings in that they can provide
moisture to or draw
moisture away from the wound dependent upon the needs
of the wound.
A nurse is providing teaching for a client who has a
prescription for alginate dressing for a wound. Which of the
following statements by the client indicates an understanding
of alginate dressing? - ANSWER-"This type of dressing will
need a secondary dressing for reinforcement".
, A nurse is reviewing strategies to reduce the risk of wound
dehiscence with a client following abdominal surgery. Which of
the following responses by the client indicates an
understanding of the information? - ANSWER-"I should report
pain at my wound site".
Rationale: reporting pain at the site can be an indication of
infection, which can
lead to the client's incision to
dehisce.
A nurse is observing an assistive personnel (AP) care for a
client. Which of the following actions by the AP places the
client at risk for alterations in skin integrity? - ANSWER-The AP
places the client in high-Fowler's position
Rationale: Placing the client in high-Fowlers position increases
the risk for shearing and alterations in skin integrity. Shearing
occurs when clients are sitting or lying on an incline, such as
sitting in a high-Fowler's position in bed. As the client sits,
gravity pulls deeper tissues like fat and muscle downward while
the top layers of the skin are still in contact with the surface.
Shearing results in stretching and trauma to the blood and
lymphatic vessels.
A nurse is teaching a newly licensed nurse about wound
healing by secondary intention. Which of the following