The nurse is caring for a patient with a wound. The patient appears anxious as the nurse is preparing to change the dressing. Which action should the nurse take?
Tell the patient “close your eyes.”
Ask the family to leave the room.
Turn on the television.
Explain the procedure.
The Correct Answer is D
A. Telling the patient to close their eyes may not alleviate their anxiety and does not provide comfort or education.
B. Asking the family to leave could increase the patient's anxiety, especially if the family provides emotional support.
C. Turning on the television may distract the patient, but it doesn't address their anxiety.
D. Explaining the procedure helps reduce anxiety by informing the patient about what to expect, which promotes trust and understanding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. RBC count is related to anemia and oxygen-carrying capacity but not infection.
B. BUN is an indicator of kidney function and dehydration but is not directly related to infection.
C. An elevated WBC count is a common sign of infection, as the body increases the production of white blood cells to fight pathogens.
D. Potassium levels are related to electrolyte balance and not directly to infection.
Correct Answer is C
Explanation
A. Sanguineous drainage consists mostly of blood and is bright red, indicating active bleeding.
B. Serous drainage is clear or slightly yellowish and watery, often seen in healing wounds.
C. Serosanguineous drainage is a mixture of blood and serous fluid, which is watery with a pink or reddish tinge, common in early wound healing.
D. Purulent drainage is thick and cloudy, indicating infection, usually accompanied by an unpleasant odor.
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