On admission to the hospital, the nurse notes that the client has a sacral wound that is "yellow" in color. What wound treatment would the nurse expect the health care provider to order?
Promotion of oxygenation by enhancing air circulation around wound
Removal of nonviable tissue followed by a moist wound dressing
Use of barrier cream and a foam dressing
No treatment is necessary
The Correct Answer is B
Choice A rationale: Promotion of oxygenation by enhancing air circulation around the wound is not the primary treatment for a "yellow" wound.
Choice B rationale: Removal of nonviable tissue followed by a moist wound dressing is the expected treatment for a wound with yellow color, indicating the presence of slough (nonviable tissue).
Choice C rationale: Use of barrier cream and a foam dressing may be indicated for other types of wounds but may not address the specific issue of nonviable tissue in a "yellow" wound.
Choice D rationale: No treatment is necessary is not appropriate for a wound with evidence of nonviable tissue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: Medication concentration being half of what it was when administered is not the definition of the trough level.
Choice B rationale: Medication becoming toxic is not the definition of the trough level. Choice C rationale: Blood serum drug concentration being lowest is the correct definition of the trough level.
Choice D rationale: Highest effective drug concentration in the blood being reached is not the definition of the trough level.
Correct Answer is B
Explanation
Choice A rationale: Applying an ice pack after a topical agent is not primarily for decreasing discomfort but rather to achieve a specific therapeutic effect.
Choice B rationale: Applying an ice pack can slow the absorption of the topical drug, allowing for prolonged local action.
Choice C rationale: Enhancing drug excretion is not typically achieved by applying an ice pack.
Choice D rationale: Maximizing drug distribution is not the primary purpose of applying an ice pack after a topical agent.
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