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 B
Explanation
Choice A rationale:
Refraining from touching the drainage spout with the hand is a correct practice. This helps to prevent contamination of the drain.
Choice B rationale:
Using one alcohol wipe to clean both the spout and the plug is incorrect. Each part should be cleaned with a separate alcohol wipe to prevent cross-contamination.
Choice C rationale:
Pointing the device away from oneself while opening it is a correct practice. This helps to prevent accidental exposure to the drainage fluid.
Choice D rationale:
Compressing the device in the hand before closing is a correct practice. This helps to maintain the suction in the drain.
Correct Answer is C
Explanation
Choice A rationale:
Stage 1 pressure ulcers are characterized by intact skin with non-blanchable redness of a localized area usually over a bony prominence.
Choice B rationale:
Stage 3 pressure ulcers involve full thickness tissue loss. Subcutaneous fat may be visible but bone, tendon, or muscle are not exposed.
Choice C rationale:
Stage 2 pressure ulcers involve partial thickness loss of dermis presenting as a shallow open ulcer with a red pink wound bed, without slough.
Choice D rationale:
Stage 4 pressure ulcers involve full thickness tissue loss with exposed bone, tendon, or muscle. Slough or eschar may be present on some parts of the wound bed.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.