A nurse is assessing a client's wound dressing, and observes a watery red drainage. The nurse should document this drainage as which of the following?
Sanguineous
Serous
Serosanguineous
Purulent
The Correct Answer is C
A. Sanguineous drainage consists mostly of blood and is bright red, indicating active bleeding.
B. Serous drainage is clear or slightly yellowish and watery, often seen in healing wounds.
C. Serosanguineous drainage is a mixture of blood and serous fluid, which is watery with a pink or reddish tinge, common in early wound healing.
D. Purulent drainage is thick and cloudy, indicating infection, usually accompanied by an unpleasant odor.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Drinking plenty of water helps to flush bacteria from the urinary tract, reducing the risk of a UTI.
B. Good personal hygiene reduces the risk of UTIs by preventing bacterial contamination.
C. Urinary catheters provide a direct pathway for bacteria to enter the bladder, increasing the risk of UTIs.
D. Frequent handwashing is a preventive measure but not directly related to the development of UTIs.
Correct Answer is C
Explanation
A. Blood in the urine (hematuria) is not typically associated with urinary retention but can indicate other conditions such as infection or trauma.
B. Cloudy urine may indicate infection but is not a direct sign of urinary retention.
C. Leakage of urine, or overflow incontinence, occurs when the bladder becomes overly full due to retention and releases small amounts of urine involuntarily.
D. Dark-colored urine typically indicates dehydration, which is not a specific sign of urinary retention.
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