A nurse is caring for a client who has multiple sclerosis and a chronic nonhealing wound. The nurse should recognize that which of the following types of medications is known to delay wound healing?
Anticholinergics
Corticosteroids
Beta-blockers
Tricyclic antidepressants
The Correct Answer is B
Choice A rationale
Anticholinergics are not typically associated with delayed wound healing. These medications affect the parasympathetic nervous system and are used to treat a variety of conditions, but they do not have a direct impact on the wound healing process.
Choice B rationale
Corticosteroids can delay wound healing. They are known to have anti-inflammatory properties, which can suppress the immune response necessary for wound healing. They also reduce the production of collagen and other proteins essential for tissue repair.
Choice C rationale
Beta-blockers are primarily used to manage cardiovascular conditions and are not known to have a significant impact on wound healing. They work by blocking the effects of adrenaline on the heart and blood vessels.
Choice D rationale
Tricyclic antidepressants are used to treat depression and certain types of pain. While they can have various side effects, they are not commonly associated with delayed wound healing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Pointing the device away while opening it is a safe practice to prevent contamination and accidental exposure to bodily fluids.
Choice B rationale
Not touching the drainage spout with the hand is correct as it prevents contamination of the spout, which could lead to infection.
Choice C rationale
Compressing the device before closing it is part of the proper procedure to re-establish the vacuum within the drain, which is necessary for it to function correctly.
Choice D rationale
Using one alcohol wipe to clean both the spout and the plug is incorrect because each should be cleaned with a separate sterile wipe to prevent cross-contamination and maintain sterility.
Correct Answer is B
Explanation
Choice A rationale
A contusion, commonly known as a bruise, is characterized by bleeding under the skin, causing discoloration and swelling. It does not involve a break in the skin and therefore does not match the description of the wound with torn skin tissue.
Choice B rationale
A laceration refers to a deep cut or tear in the skin or flesh. Because the nurse discovered torn skin tissue, this type of wound is consistent with the client’s injury described in the scenario.
Choice C rationale
An abrasion is a wound caused by superficial damage to the skin, usually no deeper than the epidermis. It is typically caused by a scrape against a rough surface and is not associated with torn skin tissue.
Choice D rationale
A puncture is a small hole caused by a long, pointed object, such as a nail or needle. This type of wound usually does not result in torn skin tissue but rather a deeper, more narrow penetration.
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