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 D
Explanation
A. Avoids the child's question and deflects to a future topic.
B. Defers the conversation and may not address the child's immediate concerns.
C. Minimizes the child's feelings and concerns about the future.
D. Encourages open communication and allows the child to express feelings and fears.
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.
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