Exam 12: Inflammation and Wound Healing

A patient who has diabetes is admitted for an exploratory laparotomy for abdominal pain.When planning interventions to promote wound healing,what is the nurse's highest priority?

The nurse is caring for a patient with diabetes who had abdominal surgery 3 days ago.Which finding is most important for the nurse to report to the health care provider?

A patient's temperature has been 101° F (38.3° C)for several days.The patient's normal caloric intake to meet nutritional needs is 2000 calories per day.Knowing that the metabolic rate increases 7% for each Fahrenheit degree above 100° in body temperature,how many total calories should the patient receive each day?

A patient arrives in the emergency department with a swollen ankle after an injury incurred while playing soccer.Which action by the nurse is most appropriate?

The nurse will perform which action when doing a wet-to-dry dressing change on a patient's stage III sacral pressure ulcer?

The nurse could delegate care of which patient to a licensed practical/vocational nurse (LPN/LVN)?

Which finding is most important for the nurse to communicate to the health care provider when caring for a patient who is receiving negative pressure wound therapy?

The nurse should plan to use a wet-to-dry dressing for which patient?

A young adult patient who is receiving antibiotics for an infected leg wound has a temperature of 101.8° F (38.7° C).Which action by the nurse is most appropriate?

After receiving a change-of-shift report,which patient should the nurse assess first?

A patient with an open leg wound has a white blood cell (WBC)count of 13,500/µL and a band count of 11%.What action should the nurse take first?

A patient from a long-term care facility is admitted to the hospital with a sacral pressure ulcer.The base of the wound is yellow and involves subcutaneous tissue.How should the nurse classify this pressure ulcer?

A young male patient who is a paraplegic has a stage II sacral pressure ulcer and is being cared for at home by his mother.To prevent further tissue damage,what instructions are most important for the nurse to teach the mother?

A patient's 4 × 3-cm leg wound has a 0.4 cm black area in the center of the wound surrounded by yellow-green semiliquid material.Which dressing should the nurse apply to the wound?

A patient with a systemic bacterial infection feels cold and has a shaking chill.Which assessment finding will the nurse expect next?

After the home health nurse teaches a patient's family member about how to care for a sacral pressure ulcer,which finding indicates that additional teaching is needed?

When admitting a patient with stage III pressure ulcers on both heels,which information obtained by the nurse will have the most impact on wound healing?

A patient has an open surgical wound on the abdomen that contains deep pink granulation tissue.How would the nurse document this wound?

A patient with rheumatoid arthritis has been taking corticosteroids for 11 months.Which nursing action is most likely to detect early signs of infection in this patient?

A patient who has an infected abdominal wound develops a temperature of 104° F (40° C).All the following interventions are included in the patient's plan of care.In which order should the nurse perform the following actions? (Put a comma and a space between each answer choice [A,B,C,D]). A) Administer IV antibiotics. B) Sponge patient with cool water. C) Perform wet-to-dry dressing change. D) Administer acetaminophen (Tylenol).