Question 1

The nurse is caring for a patient with a Penrose drain. She knows the patient will require the following care:

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.

Question 2

The nurse is caring for a postoperative orthopedic patient who has two Hemovac drains in place. Which interventions should the nurse perform? (Select all that apply.)

Accepted Answer

A)  Measure the amount of drainage in the device prior to emptying. 
B)  Label each drain and record them separately. 
C)  Recompress the device after emptying. 
D)  Secure the device to the patient's gown above the level of the wound. 
E)  Check for kinks in the tubing. 
A)  Measure the amount of drainage in the device prior to emptying. 
B)  Label each drain and record them separately. 
C)  Recompress the device after emptying. 
D)  Secure the device to the patient's gown above the level of the wound. 
E)  Check for kinks in the tubing.

Question 3

The nurse is repositioning her patient in the side-lying position. To avoid putting the patient at risk for pressure ulcers, the HOB should be placed at:

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 4

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 5

The nurse knows the layer that delivers the blood supply to the dermis, provides insulation, and has a cushioning effect is:

Accepted Answer

A)  stratum germinativum. 
B)  epidermis. 
C)  subcutaneous layer. 
D)  stratum corneum. 
A)  stratum germinativum. 
B)  epidermis. 
C)  subcutaneous layer. 
D)  stratum corneum.

Exam 29: Skin Integrity and Wound Care

The nurse is caring for a patient with a Penrose drain. She knows the patient will require the following care:

The nurse is caring for a postoperative orthopedic patient who has two Hemovac drains in place. Which interventions should the nurse perform? (Select all that apply.)

The nurse is repositioning her patient in the side-lying position. To avoid putting the patient at risk for pressure ulcers, the HOB should be placed at:

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 knows the layer that delivers the blood supply to the dermis, provides insulation, and has a cushioning effect is:

Nursing, Theory, and Professional Practice

Values, Beliefs, and Caring

Communication

Critical Thinking in Nursing

Introduction to the Nursing Process

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Nursing Diagnosis

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Implementation and Evaluation

Documentation, Electronic Health Records, and Reporting

Ethical and Legal Considerations

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Evidence-Based Practice and Nursing Research

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Health and Wellness

Human Development: Conception through Adolescence

Human Development Young Adult to Older Adult

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Health History and Physical Assessment

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Activity, Immobility, and Safe Movement

Nutrition

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Stress and Coping

Sleep

Diagnostic Testing

Medication Administration

Pain Management

Perioperative Nursing Care

Oxygenation and Tissue Perfusion

Fluid, Electrolytes, and Acid-Base Balance

Bowel Elimination

Urinary Elimination

Death and Loss

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