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:
there is probably a deeper injury than what appears on the surface.
he has lain in one position for such a long time that swelling has occurred.
vessels have dilated and allowed plasma to leak into the wound site.
an infection is in progress at the wound site.
The Correct Answer is C
Choice A rationale:
There is probably a deeper injury than what appears on the surface is incorrect because swelling at the wound site is a normal part of the inflammatory stage of wound healing.
Choice B rationale:
He has lain in one position for such a long time that swelling has occurred is incorrect because swelling at the wound site is a normal part of the inflammatory stage of wound healing.
Choice C rationale:
Vessels have dilated and allowed plasma to leak into the wound site is the correct answer because this is a normal part of the inflammatory stage of wound healing.
Choice D rationale:
An infection is in progress at the wound site is incorrect because while swelling can be a sign of infection, it is also a normal part of the inflammatory stage of wound healing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Superficial wounds heal faster when kept moist.
Choice B rationale:
Wet-to-dry dressings are not typically used for superficial wounds as they can cause trauma to the wound bed during removal.
Choice C rationale:
Occlusion can help maintain a moist environment, but it’s not the only factor in wound healing.
Choice D rationale:
Debridement is the removal of dead or infected tissue from a wound, which can promote healing, but it’s not the only factor.
Correct Answer is B
Explanation
Choice A rationale:
Abdominal pads are not designed to minimize pain during dressing changes.
Choice B rationale:
Hydrogel dressings are known to minimize pain during dressing changes.
Choice C rationale:
Wet-to-dry dressings can cause discomfort during dressing changes.
Choice D rationale:
Dry gauze can stick to the wound bed and cause pain during dressing changes.
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