A nurse is assisting with the care of a client who has an infected wound with significant exudate.
Which of the following dressings should the nurse plan to cover the client's wound?

Hydrogel dressing.

Polymeric membrane dressing.

Hydrofiber dressing.

Hydrocolloid dressing.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Hydrogel dressings are used for wounds with little to no exudate. They are not suitable for wounds with significant exudate.

Choice B rationale:

Polymeric membrane dressings are used for dry wounds with or without depth. They are not suitable for wounds with significant exudate.

Choice C rationale:

Hydrofiber dressings are used for wounds with moderate to high amounts of exudate. They are suitable for wounds with significant exudate.

Choice D rationale:

Hydrocolloid dressings are used for wounds that have minimal to moderate exudate. They are not suitable for wounds with significant exudate.

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Correct Answer is ["A","C","D"]

Explanation

Choice A rationale:

Proper nutrition with adequate protein and vitamin C is essential for wound healing as these nutrients are needed for collagen synthesis.

Choice B rationale:

Resting as much as possible and keeping the incisional area still may not necessarily aid in healing. Movement can actually promote circulation and healing.

Choice C rationale:

Increasing fluid intake to at least 4000 mL per day can help keep the body hydrated, which is beneficial for wound healing.

Choice D rationale:

Keeping skin and surrounding tissue clean and dry can help prevent infection, which can delay wound healing.

Choice E rationale:

Exercise and deep breathing can increase oxygenation, which is beneficial for wound healing.

A. Massage the client's bony prominences. B. Reposition the client every 4 hr. C. Elevate the head of the client's bed 45°. D. Provide the client with a high-calorie diet.

Correct Answer is D

Explanation

Choice A rationale:

Massaging bony prominences can lead to tissue ischemia and damage, increasing the risk of pressure injuries.

Choice B rationale:

Repositioning should be done every 2 hours or less for at-risk patients.

Choice C rationale:

Elevating the head of the bed more than 30° can increase shear and friction, leading to pressure injuries.

Choice D rationale:

A high-calorie diet can promote skin integrity and wound healing.

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A nurse is assisting with the care of a client who has an infected wound with significant exudate.Which of the following dressings should the nurse plan to cover the client's wound?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Many factors aid healing.You assist the patient to specifically improve his healing ability by encouraging (Select all that apply.)

Correct Answer is ["A","C","D"]

Explanation

A nurse is caring for a client who is at risk for a pressure injury.Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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A nurse is assisting with the care of a client who has an infected wound with significant exudate.
Which of the following dressings should the nurse plan to cover the client's wound?