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The nurse places Dakin solution in a wound to accomplish chemical:

Debridement.

Primary intention.

Healing.

Phagocytosis.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Dakin solution is used for chemical debridement of a wound.

Choice B rationale:

Primary intention is a method of wound healing, not a result of Dakin solution.

Choice C rationale:

While Dakin solution can aid in wound healing, it does not directly cause healing.

Choice D rationale:

Phagocytosis is a process carried out by certain cells in the body, not a result of Dakin solution.

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Correct Answer is D

Explanation

Choice A rationale:

Massaging bony prominences can lead to tissue ischemia and damage, increasing the risk of pressure injuries.

Choice B rationale:

Repositioning should be done every 2 hours or less for at-risk patients.

Choice C rationale:

Elevating the head of the bed more than 30° can increase shear and friction, leading to pressure injuries.

Choice D rationale:

A high-calorie diet can promote skin integrity and wound healing.

A. restlessness, rising pulse, and falling blood pressure. B. lethargy, falling pulse, and rising blood pressure. C. headache, rising pulse, and falling blood pressure. D. restlessness, falling pulse, and rising blood pressure.

Correct Answer is A

Explanation

Choice A rationale:

Restlessness, rising pulse, and falling blood pressure are classic signs of shock, which can occur with internal hemorrhage.

Choice B rationale:

Lethargy, falling pulse, and rising blood pressure are not typically associated with internal hemorrhage.

Choice C rationale:

Headache, rising pulse, and falling blood pressure could be signs of many conditions, but they are not specific to internal hemorrhage.

Choice D rationale:

Restlessness, falling pulse, and rising blood pressure are not typically associated with internal hemorrhage.

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The nurse places Dakin solution in a wound to accomplish chemical:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is at risk for a pressure injury.Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is assessing a surgical patient for internal hemorrhage, which would be indicated by:

Correct Answer is A

Explanation

When the patient complains that he feels he is getting worse because of the increased swelling at his wound site on his leg, the nurse's most helpful response would be that swelling indicates that:

The patient has an area over the sacrum that is reddened around the edges with a blackened area in the center.You would document this wound as:

A nurse is planning care for a client who has multiple wounds. During the initial stage of wound healing, which of the following should the nurse include in the plan of care?

A nurse is collecting data on a client.Which of the following findings increase the client's risk of a pressure injury?

Moist heat has the physiological effect of:

A nurse is caring for a client who has a stage 4 sacral pressure injury for which the provider has prescribed mechanical debridement.Which of the following is a form of mechanical debridement that the nurse should expect the client to receive?

A nurse is caring for a client who has heavy drainage from a moist red wound that is bleeding.Which of the following types of dressings should the nurse select to help promote hemostasis?