A nurse is caring for a client who has heavy drainage from a moist red wound that is bleeding.
Which of the following types of dressings should the nurse select to help promote hemostasis?
Alginate.
Dry gauze.
Hydrogel.
Transparent.
The Correct Answer is A
Choice A rationale:
Alginate dressings are highly absorbent and suitable for wounds with heavy drainage. They also promote hemostasis by activating the intrinsic pathway of the clotting cascade.
Choice B rationale:
Dry gauze is not the best choice for a bleeding wound as it does not have hemostatic properties.
Choice C rationale:
Hydrogel dressings are primarily for wounds with little to no exudate and not suitable for a bleeding wound.
Choice D rationale:
Transparent dressings are thin, waterproof dressings used for superficial wounds and not suitable for a bleeding wound.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
An unresponsive client who only occasionally changes position is at the highest risk for developing a pressure injury due to prolonged pressure on certain areas of the body.
Choice B rationale:
A client who is alert and responsive and eats 25% of each meal is at lower risk as they are likely to move more frequently.
Choice C rationale:
A client who makes frequent slight changes in position and walks occasionally is at lower risk due to regular movement.
Choice D rationale:
A client who is receiving enteral feeding and can change position independently is at lower risk as they are able to relieve pressure regularly.
Correct Answer is C
Explanation
Choice A rationale:
Hydrocolloids are not a form of mechanical debridement. They are dressings that promote autolytic debridement by maintaining a moist wound environment.
Choice B rationale:
Transparent dressings are not a form of mechanical debridement. They are used to protect the wound and allow for visual inspection.
Choice C rationale:
Pulsating lavage is a form of mechanical debridement. It involves using a pressurized, pulsed solution to remove necrotic tissue from the wound bed.
Choice D rationale:
Topical enzyme solutions are not a form of mechanical debridement. They are a form of chemical debridement that breaks down necrotic tissue.
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