Update) Intravenous Therapy for the Practical Nurse
Guide | Questions & Answers| Grade A| 100% Correct
(Verified Solutions)- Hondros
1. A patient 1 day postoperative after abdominal surgery has incisional pain, 99.5°F temperature,
slight erythema at the incision margins, and 30 mL serosanguinous drainage in the Jackson-Pratt
drain. Based on this assessment, what conclusion would the nurse make?
a. The patient has a normal inflammatory response.
b. The abdominal incision shows signs of an infection.
c. The abdominal incision shows signs of impending dehiscence.
d. The patient's health care provider must be notified about her condition. - ✔️a. The patient has
a normal inflammatory response.
2. The nurse assessing a patient with a chronic leg wound finds local signs of erythema, and the
patient reports pain at the wound site. What would the nurse expect to be ordered to assess the
patient's systemic response?
a. Serum protein analysis
b. WBC count and differential
c. Punch biopsy of center of wound
d. Culture and sensitivity of the wound - ✔️b. WBC count and differential
3. A patient in the unit has a 103.7°F temperature. Which intervention would be most effective in
restoring normal body temperature?
a. Using a cooling blanket while the patient is febrile
b. Giving antipyretics on an around-the-clock schedule
c. Providing increased fluids and have the UAP give sponge baths
d. Giving prescribed antibiotics and placing warm blankets for comfort - ✔️b. Giving
antipyretics on an around-the-clock schedule
,4. A nurse is caring for a patient who has a pressure injury that is treated with debridement,
irrigations, and moist gauze dressings. How would the nurse expect healing to occur?
a. Cell regeneration
b. Tertiary intention
c. Secondary intention
d. Remodeling of tissues - ✔️c. Secondary intention
5. Which patient has the greatest risk for experiencing delayed wound healing?
a. A 65-yr-old woman with stress incontinence
b. A 52-yr-old obese woman with type 2 diabetes
c. A 78-yr-old man who has a history of hypertension
d. A 30-yr-old man who drinks 2 alcoholic beverages per day - ✔️b. A 52-yr-old obese woman
with type 2 diabetes
6. Which order should a nurse question in the plan of care for an older adult, immobile stroke
patient with a pink, clean stage 3 pressure injury?
a. Pack the wound with foam dressing.
b. Turn and position the patient every hour.
c. Clean the wound every shift with Dakin's solution.
d. Assess for pain and medicate before dressing change. - ✔️c. Clean the wound every shift with
Dakin's solution.
7. An 85-yr-old patient has a score of 16 on the Braden Scale. What should the nurse include in
the plan of care?
a. Implementing a 1-hour turning schedule with skin assessment.
b. Elevating the head of bed to 90 degrees when the patient is supine.
c. Continuing with weekly skin assessments with no special precautions.
d. Placing a silicone foam dressing on the patient's sacrum to prevent breakdown. - ✔️a.
Implementing a 1-hour turning schedule with skin assessment.
, 8. Which patients are at most risk for pressure injuries? Select all that apply.
a. A patient with right sided-paralysis and fecal incontinence
b. An older adult who is alert and needs assistance to ambulate
c. A young adult patient with paraplegia after a gunshot wound
d. A morbidly obese patient who has an open abdominal wound
e. An ambulatory patient who has occasional stress incontinence
f. A young adult with a tibial fracture from a motor vehicle accident - ✔️a. A patient with right
sided-paralysis and fecal incontinence
c. A young adult patient with paraplegia after a gunshot wound
d. A morbidly obese patient who has an open abdominal wound
9. An 82year-old man is being cared for at home by his family. A pressure injury on his right
buttock measures 1 × 2 × 0.8 cm in depth, and pink subcutaneous tissue is completely visible on
the wound bed. Which stage would the nurse document on the wound assessment form?
a. Stage 1
b. Stage 2
c. Stage 3
d. Stage 4 - ✔️c. Stage 3
1. If a person is heterozygous for a given gene, it means that the person
a. is a carrier for a genetic disorder.
b. is affected by the genetic disorder.
c. has 2 identical alleles for the gene.
d. has 2 different alleles for the gene. - ✔️d. has 2 different alleles for the gene.
2. Common causes of genetic mutations include (select all that apply)
a. DNA damage from toxins.