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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Major depressive disorder can affect bowel habits, but it is more commonly associated with constipation rather than diarrhea.

B. Stress, such as that experienced by the 21-year-old female with multiple final exams, can lead to gastrointestinal symptoms like diarrhea due to the effect of stress hormones on the digestive system.

C. Ignoring the urge to defecate typically leads to constipation rather than diarrhea.

D. Older adults are at risk for constipation due to reduced intestinal motility rather than diarrhea, unless they are taking medications that can cause diarrhea.

A. Include intact skin at the wound edges in the culture B. Irrigate the wound with an antiseptic prior to obtaining the specimen C. Cleanse the wound with 0.9% sodium chloride saline irrigation before obtaining the specimen D. Swab an area of skin away from the wound to identify the usual flora

Correct Answer is C

Explanation

A. Including intact skin in the culture would not accurately reflect the bacteria present in the wound itself.

B. Irrigating with an antiseptic may alter the bacterial flora, potentially leading to inaccurate culture results.

C. Cleansing the wound with 0.9% sodium chloride helps remove surface contaminants without affecting the bacterial culture from the wound bed.

D. Swabbing away from the wound does not provide information about the organisms causing the infection.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which patient is most at risk for diarrhea?

Correct Answer is B

Explanation

A nurse is caring for a client who has a wound infection. Which of the following actions should the nurse take when obtaining a wound-drainage specimen for culture?

Correct Answer is C

Explanation

A nurse is teaching a newly licensed nurse about physiological changes in the digestive system that occur with aging. The nurse should include older adults might experience which of the following physiological changes?

A nurse is caring for a client who is postoperative following abdominal surgery. Which of the following findings should indicate to the nurse the client's peristalsis is returning?

Which of the following is a common symptom of a urinary tract infection?

A nurse is providing teaching to a client who takes opioid pain medication and has a new prescription for docusate sodium. Which of the following statements by the client indicates an understanding of the teaching?

The nurse is completing an assessment of the patient's skin's integrity. Which assessment is the priority?

A nurse is reviewing the laboratory results of a client who has a pressure ulcer. The nurse should identify an elevation in which of the following laboratory values as an indication that the client has developed an infection?

A nurse is assessing a client who has dehydration. Which of the following findings should the nurse expect?