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:
Dakin’s solution is used for chemical debridement, which involves the use of a chemical, such as Dakin’s solution, to break down and remove dead tissue.
Choice B rationale:
Primary intention is a term used to describe the healing of a clean wound without tissue loss. Dakin’s solution does not directly contribute to this process.
Choice C rationale:
While Dakin’s solution can aid in the healing process by preventing and treating infections, it does not directly cause healing.
Choice D rationale:
Phagocytosis is a process carried out by certain cells in the body to engulf and destroy pathogens or debris. Dakin’s solution does not perform this function.
Correct Answer is A
Explanation
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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