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 A
Explanation
Choice A rationale:
The goal of wound irrigation is to clean the wound, so the nurse should continue to irrigate until the drainage is clear.
Choice B rationale:
The irrigant should be at room temperature, not chilled.
Choice C rationale:
The syringe should be held 1 inch (not 0.5 inch) from the wound.
Choice D rationale:
The wound should be flushed from the cleanest area to the most contaminated, not the other way around.
Correct Answer is D
Explanation
Choice A rationale:
Sharp debridement involves the use of a sharp instrument or heat to remove dead tissue, which is not achieved with a hydrocolloid dressing.
Choice B rationale:
Chemical debridement involves the use of chemicals to remove dead tissue, which is not the function of a hydrocolloid dressing.
Choice C rationale:
Enzymatic debridement involves the use of enzymes to soften and remove dead tissue, which is not the function of a hydrocolloid dressing.
Choice D rationale:
Autolytic debridement uses the body’s own enzymes and moisture to soften and remove dead tissue. A hydrocolloid dressing helps maintain a moist wound environment, promoting autolytic debridement.
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