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Enter instructional text.
The nurse clarifies that the second stage of wound healing is:

reconstruction.

maturation.

proliferation.

inflammation.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Reconstruction is incorrect because it is not the second stage of wound healing.

Choice B rationale:

Maturation is incorrect because it is not the second stage of wound healing.

Choice C rationale:

Proliferation is incorrect because it is not the second stage of wound healing.

Choice D rationale:

Inflammation is the correct answer because it is the second stage of wound healing.

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Correct Answer is C

Explanation

Choice A rationale:

Wrapping the dressing in a clear plastic bag and discarding it in the bedside trash receptacle is incorrect because it does not follow proper biohazardous waste disposal protocols.

Choice B rationale:

Double bagging the dressing, labeling it “biohazard,” and sending it for decontamination is incorrect because it is not the standard procedure for disposing of soiled dressings.

Choice C rationale:

Placing the dressing in a biohazardous waste container is the correct method for disposing of soiled dressings.

Choice D rationale:

Discarding the dressing in the bedside trash receptacle is incorrect because it does not follow proper biohazardous waste disposal protocols.

A. Massage the client's bony prominences. B. Reposition the client every 4 hr. C. Elevate the head of the client's bed 45°. D. Provide the client with a high-calorie diet.

Correct Answer is D

Explanation

Choice A rationale:

Massaging bony prominences can lead to tissue ischemia and damage, increasing the risk of pressure injuries.

Choice B rationale:

Repositioning should be done every 2 hours or less for at-risk patients.

Choice C rationale:

Elevating the head of the bed more than 30° can increase shear and friction, leading to pressure injuries.

Choice D rationale:

A high-calorie diet can promote skin integrity and wound healing.

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Enter instructional text.The nurse clarifies that the second stage of wound healing is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is removing a wound dressing that is saturated with blood and purulent drainage.Which of the following methods should the nurse use when disposing of the soiled dressing?

Correct Answer is C

Explanation

A nurse is caring for a client who is at risk for a pressure injury.Which of the following actions should the nurse take?

Correct Answer is D

Explanation

When changing the dressing on the patient's right arm, you see that the dressing has a moist yellow-red stain on it. You would document this as drainage.

The nurse reminds the 85-year-old patient that his healing will be slower because of age-related changes such as: (Select all that apply.)

Superficial wounds heal faster when kept:

A nurse is collecting data on a client who has impaired mobility.The nurse should monitor the client for a pressure injury due to which of the following factors?

The nurse changing a wet to dry normal saline dressing for a patient with an ulcer on the heel finds that the old dressing is stuck to the wound bed.The nurse's most beneficial intervention would be to:

The nurse clarifies that a vacuum-assisted closure supports healing of a wound by:

A nurse is collecting data on a client.Which of the following findings increase the client's risk of a pressure injury?

The patient has an area over the sacrum that is reddened around the edges with a blackened area in the center.You would document this wound as:

Enter instructional text.
The nurse clarifies that the second stage of wound healing is: