How should a nurse document the presence of thick, creamy yellow discharge on a patient’s dressing?

Purulent drainage

Serosanguineous drainage

Serous drainage

Sanguineous drainage

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Thick, creamy yellow discharge is a hallmark characteristic of purulent drainage. This type of drainage is commonly referred to as pus and is indicative of an infection within the wound. It is composed of white blood cells, dead bacteria, cellular debris, and inflammatory cells, giving it its characteristic opaque, thick, and yellowish appearance.

Purulent drainage is a significant clinical finding that requires prompt attention and intervention. Early identification and management of wound infections can prevent complications such as abscess formation, cellulitis, sepsis, and delayed wound healing.

Accurate documentation of purulent drainage is essential for communication among healthcare providers, monitoring wound progress, and guiding treatment decisions.

Choice B rationale:

Serosanguineous drainage is a mixture of serous fluid (clear, thin, and watery) and blood. It often appears pink or slightly red and is commonly observed in the early stages of wound healing or after dressing changes. While it may contain a small amount of blood, it lacks the thick, creamy consistency and yellow color that are characteristic of purulent drainage.

Choice C rationale:

Serous drainage is clear, thin, and watery, resembling plasma. It is a normal part of the wound healing process and is often seen in the early inflammatory stage. It does not contain the thick consistency or yellow coloration that are indicative of purulent drainage.

Choice D rationale:

Sanguineous drainage is composed primarily of fresh blood. It is bright red in color and typically indicates active bleeding within the wound. It does not exhibit the thick, creamy consistency or yellow hue that are characteristic of purulent drainage.

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Correct Answer is A

Explanation

Step 1: Convert the prescribed dose to milligrams. 400 mcg = 0.4 mg (since 1 mg = 1000 mcg)

Step 2: Compare the prescribed dose to the pill strength. The prescribed dose is 0.4 mg.

The pill strength is 0.4 mg.

Step 3: Determine the number of pills needed.

Since the prescribed dose and pill strength are equal, only one pill is needed to administer the correct dose.

Rationale for Choice A:

Correct: One pill of 0.4 mg will provide the exact dose of 400 mcg that has been prescribed.

Direct match: The pill strength matches the prescribed dose, eliminating the need for any calculations or adjustments.

Therapeutic equivalence: Administering one pill ensures that the patient receives the intended amount of medication to achieve the desired therapeutic effect.

Adherence to prescription: Conforms to the healthcare provider's instructions, promoting accurate and safe medication administration.

A. The patient follows a lactose-free diet. B. The patient has a history of thrombocytopenia. C. The patient has several herniated lumbar disks. D. The patient is allergic to latex and strawberries.

Correct Answer is B

Explanation

Choice A rationale:

A lactose-free diet does not contraindicate acupuncture therapy. Lactose intolerance is a digestive condition that does not affect blood clotting or the ability to receive acupuncture safely.

Acupuncture needles are very fine and do not typically cause bleeding. Even if minor bleeding occurs, it is not a concern for individuals without bleeding disorders.

Therefore, a lactose-free diet does not pose a risk for acupuncture.

Choice B rationale:

Thrombocytopenia is a condition characterized by a low platelet count. Platelets are essential for blood clotting. Acupuncture involves the insertion of needles into the skin. This can cause minor bleeding, even when performed correctly.

In individuals with thrombocytopenia, even minor bleeding can be difficult to control and may lead to excessive bruising or hematoma formation.

Therefore, thrombocytopenia is a contraindication to acupuncture therapy due to the increased risk of bleeding complications.

Choice C rationale:

Herniated lumbar disks are a common condition that can cause back pain. Acupuncture is often used to treat back pain, including pain caused by herniated disks.

Studies have shown that acupuncture can be effective in reducing pain and improving function in patients with herniated disks.

Therefore, the presence of herniated lumbar disks does not contraindicate acupuncture therapy.

Choice D rationale:

Latex and strawberry allergies are not contraindications to acupuncture therapy. Acupuncture needles are typically made of stainless steel, which does not contain latex.

Additionally, acupuncture does not involve the use of strawberries or any other substances that are common allergens. Therefore, latex and strawberry allergies do not pose a risk for acupuncture.

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How should a nurse document the presence of thick, creamy yellow discharge on a patient’s dressing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The patient has been prescribed Synthroid 400 mcg pills to be taken orally. The pills supplied are 0.4 mg each.How many pills should be administered?

Correct Answer is A

Explanation

Which assessment finding indicates that the patient is not a candidate for acupuncture therapy?

Correct Answer is B

Explanation

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The nurse administers a medication to the patient. Which symptoms indicate that the patient is having an allergic reaction rather than a side effect?

How should a nurse document the presence of thick, creamy yellow discharge on a patient’s dressing?

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The nurse is scheduled to administer the patient’s next dose of vancomycin at 9:30 a.m. At what time should the nurse draw the patient’s blood to check the trough vancomycin level?