The nurse assesses the large raised scar on the African American patient.
The nurse documents the lesion as a:
Laceration.
Contusion.
Keloid.
Hematoma.
The Correct Answer is C
Choice A rationale:
A laceration is a cut or tear in the skin, not a raised scar.
Choice B rationale:
A contusion is a bruise caused by an impact to the skin, not a raised scar.
Choice C rationale:
A keloid is a thick, raised scar that can develop at the site of an injury or inflammation. It’s more common in people with darker skin tones.
Choice D rationale:
A hematoma is a collection of blood outside of the blood vessels, not a raised scar.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Leaving the reservoir until the end of the shift could lead to overfilling and ineffective drainage.
Choice B rationale:
Removing the drain is not within the nurse’s scope of practice and could lead to complications.
Choice C rationale:
Emptying the reservoir ensures effective drainage and allows for accurate measurement of output.
Choice D rationale:
Notifying the surgeon about the blood loss may be necessary if the amount is significant, but it is not the immediate action.
Correct Answer is D
Explanation
Choice A rationale:
Hydrocolloid dressings do not keep the wound dry; they maintain a moist environment.
Choice B rationale:
These dressings do not have antimicrobial properties.
Choice C rationale:
While these dressings can be left in place for several days, it is not their major purpose.
Choice D rationale:
Hydrocolloid dressings occlude air and promote autolytic debridement of necrotic tissue.
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