A nurse is assessing a client's incision and observes the drainage to be blood-tinged. The nurse should document this finding as which of the following?

Purulent

Serous

Sanguineous

Hyperemia

Answer and Explanation

The Correct Answer is C

A) Purulent drainage is indicative of pus, which is associated with infection and is typically thick and yellow, green, or brown.
B) Serous drainage is clear, thin, and watery, and is generally considered normal in the early stages of healing.
C) Sanguineous drainage, which is the correct answer, refers to drainage that contains or is mixed with blood, making it appear blood-tinged, and is expected in a fresh incision or one that is healing by secondary intention.
D) Hyperemia is not a type of drainage but a term that describes increased blood flow to an area of the body, resulting in redness. Therefore, the nurse should document the finding as sanguineous, which accurately describes blood-tinged drainage.

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Correct Answer is C

Explanation

A. TENS does not primarily work by providing distraction from pain.

B. While relaxation may be a secondary effect, the primary mechanism of TENS is not to elicit a relaxation response.
C. TENS works by modulating the transmission of the pain impulse, disrupting pain signals from reaching the brain.
D. TENS does not primarily work by promoting increased circulation to the painful area.

A. Ask the assistive personnel to witness the wasting of the controlled substance. B. Dispose of the wasted medication into a sharps container. C. Record the amount of medication wasted on the controlled substance inventory record. D. Return the unused portion of the medication to the pharmacy.

Correct Answer is C

Explanation

A. Controlled substances typically require a licensed nurse or provider to witness the wasting, not assistive personnel.
B. Wasted medication should be disposed of according to facility policies but not necessarily in a sharps container unless it is a sharp object.
C. Recording the amount of medication wasted on the controlled substance inventory record is a crucial step to maintain accurate documentation.
D. Returning the unused portion of a controlled substance to the pharmacy is not an appropriate action and goes against medication safety protocols. Controlled substances should be wasted and documented properly.

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A nurse is assessing a client's incision and observes the drainage to be blood-tinged. The nurse should document this finding as which of the following?

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Naxlex Comprehensive Predictor Exams

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