Because the patient with an abdominal dressing requires frequent dressing changes, the abdomen is beginning to show skin irritation from repeated tape removal.
The nurse would change the dressing procedure in order to use:
Karaya paste.
Paper tape.
Elastic adhesive tape.
Montgomery straps.
The Correct Answer is D
Choice A rationale:
Karaya paste is used for ostomy care, not for dressing changes.
Choice B rationale:
Paper tape might not provide the necessary adhesion for frequent dressing changes.
Choice C rationale:
Elastic adhesive tape is typically used for strains and sprains, not for dressing changes.
Choice D rationale:
Montgomery straps are adhesive strips that can be tied and untied to secure dressings without removing and reapplying tape. This can help reduce skin irritation from repeated tape removal.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Cleaning from left to right across the wound can introduce bacteria from the surrounding skin into the wound, which can lead to infection.
Choice B rationale:
Cleaning from the outer abdomen toward the wound can also introduce bacteria from the surrounding skin into the wound.
Choice C rationale:
Cleaning in a circular motion around the wound, circling to the outside, helps to move bacteria away from the wound and reduce the risk of infection.
Choice D rationale:
Cleaning directly over the wound can disrupt the healing process and potentially introduce bacteria into the wound.
Correct Answer is A
Explanation
Choice A rationale:
Testing the temperature of the solution is crucial to prevent burns.
Choice B rationale:
While using sterile equipment and solution is important, it’s not the most important in a hot soak treatment.
Choice C rationale:
Comfort is important but not as critical as preventing burns.
Choice D rationale:
Soaking only the affected area is good practice but not as vital as preventing burns.
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