The nurse is performing a dressing change for a patient and notices white skin around the wound edges. The nurse is aware that:

there is too much moisture present in the wound bed and treatment should be changed.

the wound will require surgical debridement of the nonviable tissue at the wound edges.

the patient requires turning and positioning every two hours.

this is a normal finding that indicates wound healing

Answer and Explanation

The Correct Answer is B

Choice A rationale: White skin around the wound edges is not necessarily indicative of too much moisture in the wound bed.

Choice B rationale: White skin around the wound edges may suggest nonviable tissue, and surgical debridement may be needed.

Choice C rationale: Turning and positioning every two hours is important for preventing pressure injuries but is not directly related to the observed skin color.

Choice D rationale: White skin around the wound edges is not a normal finding and indicates a potential issue with tissue viability.

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Correct Answer is C

Explanation

Choice A rationale: The normal stimulus to breathe is an increased carbon dioxide level, which stimulates the respiratory center in the brain.

Choice B rationale: Increased oxygen levels do not serve as the primary stimulus for breathing. The respiratory center is primarily responsive to carbon dioxide levels.

Choice C rationale: Increased carbon dioxide level is the correct stimulus for normal breathing.

Choice D rationale: Decreased oxygen level is not the primary stimulus for normal breathing.

A. carbohydrates. B. vitamin C. C. calcium. D. vitamin E.

Correct Answer is B

Explanation

Choice A rationale: Carbohydrates are important for energy but do not specifically promote wound healing.

Choice B rationale: Vitamin C is crucial for collagen synthesis and wound healing, so an increased intake is beneficial.

Choice C rationale: Calcium is important for bone health but does not have a direct role in promoting wound healing.

Choice D rationale: Vitamin E has antioxidant properties but is not the primary nutrient emphasized for wound healing.

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The nurse is performing a dressing change for a patient and notices white skin around the wound edges. The nurse is aware that:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In providing care for clients, the nurse knows that the normal stimulus to breathe is a/an:

Correct Answer is C

Explanation

The client has had a surgical debridement of a wound, which is starting to heal. In order to further promote healing, this client should be encouraged to consume a balanced diet with emphasis on increased:

Correct Answer is B

Explanation

It is most critical for the nurse to use a filtered needle when preparing a parenteral medication that:

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