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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Dishwashing gloves can contain latex, which may trigger an allergic reaction in individuals with latex allergies.
B. Elastic bandages may contain latex, posing a risk for individuals with latex allergies.
C. Latex balloons are a common source of latex exposure and can trigger an allergic reaction.
D. Using ink pens instead of latex-containing products for writing helps avoid exposure to latex.

A. A single dose of diazepam is unlikely to cause side effects. B. Diazepam can cause drowsiness. C. Avoid foods that contain tyramine. D. Grapefruit juice inactivates this medication.

Correct Answer is B

Explanation

A. Diazepam can cause side effects, especially drowsiness, even with a single dose.
B. One of the common side effects of diazepam is drowsiness, and the client should be advised not to operate heavy machinery or engage in activities requiring alertness until the effects are known.
C. Avoiding foods that contain tyramine is more relevant for certain antidepressant medications, not diazepam.
D. Grapefruit juice is known to interact with certain medications, but it does not inactivate diazepam.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing discharge teaching with a client who has a new diagnosis of a latex allergy. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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