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A nurse is selecting dressings for a client who has a full-thickness pressure injury and is experiencing considerable pain during dressing changes, despite administration of the prescribed analgesic prior to wound care.
Which of the following types of dressings should the nurse select to help minimize the pain of dressing changes?

Abdominal pads.

Hydrogel.

Wet-to-dry.

Dry gauze.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Abdominal pads are not designed to minimize pain during dressing changes.

Choice B rationale:

Hydrogel dressings are known to minimize pain during dressing changes.

Choice C rationale:

Wet-to-dry dressings can cause discomfort during dressing changes.

Choice D rationale:

Dry gauze can stick to the wound bed and cause pain during dressing changes.

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Correct Answer is B

Explanation

Choice A rationale:

Third intention healing, also known as delayed primary closure, is used when wound closure is delayed due to infection risk.

Choice B rationale:

First intention healing occurs when the wound edges are approximated, such as with sutures.

Choice C rationale:

Second intention healing occurs when the wound edges cannot be approximated and the wound heals from the bottom up.

Choice D rationale:

Fourth intention healing is not a recognized term in wound healing.

A. Remind him to remain very still during the procedure. B. Place a discard bag close to the wound. C. Change gloves after removing the old dressing. D. Refrain from talking while the wound is uncovered.

Correct Answer is C

Explanation

Choice A rationale:

While it’s important for the patient to remain still during the procedure, this is not the most important aspect of changing a sterile dressing.

Choice B rationale:

Placing a discard bag close to the wound can increase the risk of infection.

Choice C rationale:

Changing gloves after removing the old dressing is crucial to maintain sterility and prevent infection.

Choice D rationale:

Refraining from talking while the wound is uncovered can help prevent infection, but it’s not as important as changing gloves after removing the old dressing.

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Naxlex Comprehensive Predictor Exams

The nurse is taking care of a postsurgical patient and notes the incision is clean and dry, with sutures intact.The nurse further assesses that the wound is healing by:

Correct Answer is B

Explanation

When preparing to change a sterile dressing over an incision, it is most important to remember to:

Correct Answer is C

Explanation

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