A nurse is completing discharge teaching with a client. Of the following barriers to learning the nurse identifies with this client, which should the nurse interpret as a need to postpone the session?
Motor impairment
Pain
The client's culture
Hearing loss
The Correct Answer is B
A. An abrasion is a superficial wound caused by scraping or rubbing and does not involve the full thickness of the skin.
B. A full-thickness wound with jagged edges and visible muscle tissue is a laceration. Lacerations are typically caused by trauma and result in irregular edges and deeper tissue damage.
C. A puncture wound is caused by a sharp object penetrating the skin, often with a small opening.
D. A contusion is a bruise caused by blunt force trauma that results in damage to underlying tissues but does not involve a break in the skin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A diet high in protein is essential for maintaining skin integrity and promoting wound healing, as protein helps to maintain tissue strength and repair.
B. Massaging bony prominences is not recommended because it can cause further damage to the skin and underlying tissues.
C. The client should be repositioned every 2 hours to prevent pressure sores, not every 3 hours.
D. Cornstarch should not be used because it can cause skin irritation and lead to fungal infections. Powder-based products should be avoided on fragile skin.
Correct Answer is A
Explanation
A. An elevated white blood cell (WBC) count is a common indicator of infection. WBCs increase in response to infection as part of the body's immune response.
B. BUN (blood urea nitrogen) may be elevated in dehydration or renal dysfunction, not necessarily due to infection.
C. Potassium levels are typically related to electrolyte imbalances, not directly indicative of infection.
D. RBC count is related to anemia or blood volume, not infection.
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