A nurse is collecting data from four clients who have wounds. The nurse should recognize that which of the following clients has a manifestation of a wound infection?
A client who has swelling and tenderness around the wound
A client who has brown crusting over the wound
A client who has serosanguineous drainage from the wound
A client who has urticaria and itching around the wound
The Correct Answer is A
A. Swelling and tenderness around the wound are common signs of infection, indicating an inflammatory response to the presence of bacteria.
B. Brown crusting over the wound may suggest the presence of a scab or dried exudate, which is a normal part of the healing process and not necessarily indicative of infection.
C. Serosanguineous drainage is a type of wound drainage that is typically not a sign of infection but rather a mix of clear and blood-tinged fluid.
D. Urticaria and itching around the wound suggest an allergic reaction rather than a wound infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Heat application can help relieve pain and stiffness associated with osteoarthritis.
However, it is important to use a heat pack with a temperature below body temperature to avoid skin burns.
B. Elevation is generally more relevant for conditions involving swelling, and it may not be the primary recommendation for osteoarthritis.
C. Acetaminophen is a common pain reliever, but other medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) may also be used for osteoarthritis pain management.
D. Decreasing foods high in purines is more relevant for conditions like gout, which is not typically associated with osteoarthritis.
Correct Answer is ["100"]
Explanation
To answer this question, we need to use the formula:
IV flow rate (gtt/min) = (Volume to be infused in mL x Drop factor in gtt/mL) / Time of infusion in minutes
Plugging in the given values, we get:
IV flow rate (gtt/min) = (100 mL x 60 gtt/mL) / 60 min Simplifying, we get:
IV flow rate (gtt/min) = 100 gtt/min
Therefore, the nurse should set the IV flow rate to deliver 100 gtt/min.
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