A nurse is changing the dressing on a client’s wound. The nurse should recognize that which of the following findings is an indication of a wound infection?
Edema
Crusting over granulated tissue
Petechiae
Urticaria
The Correct Answer is A
A. Edema, which is swelling caused by fluid accumulation in the tissues. Edema is a common sign of inflammation and infection in wounds.
B. Crusting over granulated tissue may indicate normal wound healing and is not necessarily a sign of infection.
C. Petechiae are small red or purple spots on the skin caused by bleeding under the skin. They are usually associated with blood disorders or trauma, not infection.
D. Urticaria (hives) is typically associated with allergic reactions and is not a typical sign of wound infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.5"]
Explanation
To answer this question, the nurse needs to use the formula D/H x Q = X, where D is the desired dose, H is the dose on hand, Q is the quantity of the dose form, and X is the amount to administer. In this case, D is 25 mg, H is 50 mg, Q is 1 tablet, and X is unknown. Plugging these values into the formula, we get:
25/50 x 1 = X
0.5 x 1 = X
X = 0.5
Correct Answer is B
Explanation
A. Antihistamines typically cause a mild decrease in blood pressure.
B. Antihistamines often have anticholinergic effects, leading to dry mouth.
C. This is not a common adverse effect of antihistamines.
D. Antihistamines are more likely to cause constipation than diarrhea.
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