A 28-year-old male is a patient at your clinic.
He states that he had a minor accident with his motorcycle 5 days ago.
He sustained several scrapes and wounds.
The wound on his calf has a pinkish-red center area that looks bumpy.
This indicates that the wound is:
Is purulent.
Becoming infected.
Needs to be débrided.
Beginning to heal.
The Correct Answer is D
Choice A rationale:
Purulent indicates pus, which is not described here.
Choice B rationale:
Infection usually presents with redness, swelling, and possibly pus, which is not described here.
Choice C rationale:
Debridement is the removal of dead tissue, not indicated by a pinkish-red bumpy area.
Choice D rationale:
A pinkish-red center area that looks bumpy indicates granulation tissue, which is a sign of healing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Sharp debridement involves the use of a sharp instrument or heat to remove dead tissue, which is not achieved with a hydrocolloid dressing.
Choice B rationale:
Chemical debridement involves the use of chemicals to remove dead tissue, which is not the function of a hydrocolloid dressing.
Choice C rationale:
Enzymatic debridement involves the use of enzymes to soften and remove dead tissue, which is not the function of a hydrocolloid dressing.
Choice D rationale:
Autolytic debridement uses the body’s own enzymes and moisture to soften and remove dead tissue. A hydrocolloid dressing helps maintain a moist wound environment, promoting autolytic debridement.
Correct Answer is ["A","B","D","E"]
Explanation
E. Using a thermometer to check the temperature of the pad, Securing the pad to the patient, Instructing the patient not to sleep on the pad, Inspecting the plug and cord for cracks or fraying.
Choice A rationale:
It’s important to check the temperature of the pad to prevent burns.
Choice B rationale:
Securing the pad ensures it stays in place and provides consistent heat.
Choice C rationale:
Patients should not lie on top of the pad as it can lead to burns.
Choice D rationale:
Patients should not sleep on the pad to prevent prolonged exposure which can lead to burns.
Choice E rationale:
Inspecting the plug and cord prevents electrical hazards.
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