The nurse is caring for a client with a skin lesion that is oozing. The surrounding skin is acutely inflamed.
What type of dressing should the nurse apply?
Interactive.
Passive.
Protective.
Occlusive.
Occlusive.
The Correct Answer is D
Choice A rationale
Interactive dressings are designed to interact with the wound environment to promote healing. These can include dressings that release medication or create an optimal moisture balance. They are not typically used for acutely inflamed and oozing skin lesions.
Choice B rationale
Passive dressings are protective covers that keep the wound clean and protected from external contaminants. They do not have additional properties to manage wound exudate or inflammation.
Choice C rationale
Protective dressings are generally used to shield wounds from further injury or contamination. They do not specifically address the needs of an oozing and inflamed lesion.
Choice D rationale
Occlusive dressings are designed to maintain a moist wound environment, which can aid in the healing of oozing wounds. They can also provide a barrier to external contaminants and help manage exudate effectively, making them suitable for acutely inflamed and oozing lesions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
Choice A rationale
Scales represent the accumulation of dead skin cells that flake off, a common secondary lesion in eczema resulting from the chronic inflammation and rapid skin cell turnover.
Choice B rationale
Erosion occurs when the superficial layer of skin is lost, typically due to scratching or friction in eczema, exposing the underlying epidermis and sometimes leading to infection.
Choice C rationale
Crusts form when serum, blood, or purulent exudate dries on the skin surface, often seen in eczema as a result of weeping lesions and subsequent drying.
Choice D rationale
Ulcers are deeper lesions extending into the dermis or subcutaneous tissue and are not typically associated with eczema. Eczema usually affects the epidermis, causing secondary lesions like scales, erosion, and crusts rather than deep tissue ulcers.
Correct Answer is D
Explanation
Choice A rationale
Fever is typically regulated by the hypothalamus, a part of the brain that controls body temperature. Dysfunction of the lower brain stem does not typically cause fever.
Choice B rationale
Visual disturbances are often related to issues with the visual cortex or optic pathways, which are not part of the lower brain stem.
Choice C rationale
Gait alteration is typically associated with dysfunction in the cerebellum or motor pathways, rather than the lower brain stem.
Choice D rationale
Hypoxia, or decreased oxygen levels, can be a critical concern with lower brain stem dysfunction as the lower brain stem controls vital autonomic functions such as respiration and heart rate.
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