Question 1

The nurse is educating the patient about the signs and symptoms of a wound infection. Which statement indicates a need for further education?

Accepted Answer

A)  "The wound will be red." 
B)  "The wound will have pus." 
C)  "The wound will be warm." 
D)  "The wound will need to be treated." 
A)  "The wound will be red." 
B)  "The wound will have pus." 
C)  "The wound will be warm." 
D)  "The wound will need to be treated."

Question 2

The nurse is repositioning the patient in the side-lying position. To avoid putting the patient at risk for pressure ulcers, the nurse should place the head of the bed in which position?

Accepted Answer

A)  Flat 
B)  90 degrees 
C)  30 degrees 
D)  45 degrees 
A)  Flat 
B)  90 degrees 
C)  30 degrees 
D)  45 degrees

Question 3

The nurse recognizes that cold therapy is contraindicated in which conditions?

Accepted Answer

A)  Edema 
B)  Shivering 
C)  Bleeding 
D)  Circulatory problems 
E)  Advanced age 
A)  Edema 
B)  Shivering 
C)  Bleeding 
D)  Circulatory problems 
E)  Advanced age

Question 4

The nurse identifies which type of wounds heal by tertiary intention?

Accepted Answer

A)  An acute wound in which the patient has sutures placed when it happened. 
B)  A pressure ulcer that was treated with dressing changes and is healed. 
C)  An acute wound in which surgical glue was used to close the wound. 
D)  A wound that was left open initially and closed later with sutures. 
A)  An acute wound in which the patient has sutures placed when it happened. 
B)  A pressure ulcer that was treated with dressing changes and is healed. 
C)  An acute wound in which surgical glue was used to close the wound. 
D)  A wound that was left open initially and closed later with sutures.

Question 5

When the nurse is caring for a patient with a Penrose drain, what care needs to be carried out?

Accepted Answer

A)  The drain must be compressed after emptying to work properly. 
B)  The drain must be connected to suction if ordered. 
C)  The drain is not sutured in place so care is taken to not dislodge it. 
D)  The suction pulls drainage away from the wound as it re-expands. 
A)  The drain must be compressed after emptying to work properly. 
B)  The drain must be connected to suction if ordered. 
C)  The drain is not sutured in place so care is taken to not dislodge it. 
D)  The suction pulls drainage away from the wound as it re-expands.

Exam 29: Skin Integrity and Wound Care

The nurse is educating the patient about the signs and symptoms of a wound infection. Which statement indicates a need for further education?

The nurse is repositioning the patient in the side-lying position. To avoid putting the patient at risk for pressure ulcers, the nurse should place the head of the bed in which position?

The nurse recognizes that cold therapy is contraindicated in which conditions?

The nurse identifies which type of wounds heal by tertiary intention?

When the nurse is caring for a patient with a Penrose drain, what care needs to be carried out?

Nursing, Theory, and Professional Practice

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Critical Thinking in Nursing

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