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When giving a hot soak treatment, it is most important to:

Test the temperature of the solution.

Use only sterile equipment and solution.

Position the patient comfortably.

Soak only the affected area.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Testing the temperature of the solution is crucial to prevent burns.

Choice B rationale:

While using sterile equipment and solution is important, it’s not the most important in a hot soak treatment.

Choice C rationale:

Comfort is important but not as critical as preventing burns.

Choice D rationale:

Soaking only the affected area is good practice but not as vital as preventing burns.

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Correct Answer is C

Explanation

Choice A rationale:

A laceration is a cut or tear in the skin, not a raised scar.

Choice B rationale:

A contusion is a bruise caused by an impact to the skin, not a raised scar.

Choice C rationale:

A keloid is a thick, raised scar that can develop at the site of an injury or inflammation. It’s more common in people with darker skin tones.

Choice D rationale:

A hematoma is a collection of blood outside of the blood vessels, not a raised scar.

A. A client who is unresponsive to verbal commands and changes position occasionally. B. A client who is alert and responsive and eats 25% of each meal. C. A client who makes frequent slight changes in position and walks occasionally. D. A client who is receiving enteral feeding and can change position independently.

Correct Answer is A

Explanation

Choice A rationale:

An unresponsive client who only occasionally changes position is at the highest risk for developing a pressure injury due to prolonged pressure on certain areas of the body.

Choice B rationale:

A client who is alert and responsive and eats 25% of each meal is at lower risk as they are likely to move more frequently.

Choice C rationale:

A client who makes frequent slight changes in position and walks occasionally is at lower risk due to regular movement.

Choice D rationale:

A client who is receiving enteral feeding and can change position independently is at lower risk as they are able to relieve pressure regularly.

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When giving a hot soak treatment, it is most important to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse assesses the large raised scar on the African American patient.The nurse documents the lesion as a:

Correct Answer is C

Explanation

A nurse is caring for a group of clients.Which of the following clients should the nurse identify is at the highest risk for developing a pressure injury?

Correct Answer is A

Explanation

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?

The nurse is alert to the indication of possible dehiscence of an abdominal surgical wound, which would be evidenced by:

A nurse is removing a wound dressing that is saturated with blood and purulent drainage.Which of the following methods should the nurse use when disposing of the soiled dressing?

A 28-year-old male is a patient at your clinic.He states that he had a minor accident with his motorcycle 5 days ago.He sustained several scrapes and wounds.The wound on his calf has a pinkish-red center area that looks bumpy.This indicates that the wound is:

Superficial wounds heal faster when kept:

Which type of debridement is a hydrocolloid dressing used for?

Chronic wounds that are not healing well may benefit from (Select all that apply.)