The client has an open wound on the sacrum with an order for the following: "Apply hydrogel dressing on the wound. Change dressing every day." The nurse recognizes that the primary purpose of this dressing is to:

protect the wound from additional pressure.

provide moisture to the wound.

enhance healing by primary intention.

absorb the wound drainage.

Answer and Explanation

The Correct Answer is B

Choice A rationale: Protecting the wound from additional pressure is more commonly achieved with pressure-relieving devices.

Choice B rationale: Providing moisture to the wound is the primary purpose of a hydrogel dressing, promoting a moist wound environment for healing.

Choice C rationale: Enhancing healing by primary intention is more related to surgical wound closure rather than the use of a hydrogel dressing.

Choice D rationale: Absorbing wound drainage is not the primary purpose of a hydrogel dressing, as its focus is on providing moisture.

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Correct Answer is D

Explanation

Choice A rationale: The gluteal maximus is not a recommended site for intramuscular injections in infants due to the risk of injury to the sciatic nerve.

Choice B rationale: The deltoid muscle is a suitable site for older children and adults but may not be well-developed in infants.

Choice C rationale: The ventral gluteal site is not typically recommended for infants due to the potential risk of injury to the sciatic nerve.

Choice D rationale: The vastus lateralis muscle is the preferred injection site for intramuscular injections in infants.

A. inhales slowly to raise the ball to the desired level, and attempts to keep the ball raised for several seconds B. blows into the mouthpiece with a long slow expiration to keep the ball at the base of the spirometer. C. begins breathing with a rapid, forceful inspiration to raise the ball as high as possible. D. exhales slowly to raise the ball to the desired level, and quickly inhales to raise the ball again.

Correct Answer is A

Explanation

Choice A rationale: Inhaling slowly to raise the ball to the desired level and attempting to keep the ball raised for several seconds is the correct technique for using an incentive spirometer.

Choice B rationale: Blowing into the mouthpiece with a long slow expiration is not the correct technique for using an incentive spirometer.

Choice C rationale: Beginning breathing with a rapid, forceful inspiration is not the recommended technique for using an incentive spirometer.

Choice D rationale: Exhaling slowly to raise the ball and quickly inhaling is not the correct technique for using an incentive spirometer.

View Question and Answer

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The client has an open wound on the sacrum with an order for the following: "Apply hydrogel dressing on the wound. Change dressing every day." The nurse recognizes that the primary purpose of this dressing is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is administering an intramuscular injection to a 9 month old infant. What is the preferred injection site?

Correct Answer is D

Explanation

The nurse knows that teaching about the use of the spirometer incentive is effective when the client seals the lips around the mouthpiece and:

Correct Answer is A

Explanation

A client has had an uncomplicated repair of an inguinal hernia. On the second post- operative day, the client has mildly elevated temperature and general malaise. The nurse recognizes that this is a generalized body response which is common to which phase of healing?

A nurse is admitting a patient who has a DTI (deep tissue injury) to the hospital. The nurse understands that a DTI:

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The nurse is to administer a volume of 2 mL intramuscularly (IM) to a 150-pound client. Assuming that there are no skin problems, which is the preferred site for the injection?

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The best way for the nurse to assess a client's level of dyspnea is to:

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