Question 1

The assistive personnel (AP) notes purulent drainage seeping around a client's wound dressing. Which action should the nurse take?

Accepted Answer

A)  Assess the wound and drainage. 
B)  Ask the AP to measure the wound. 
C)  Direct the AP to change the dressing. 
D)  Suggest the AP use a different type of dressing material. 
A)  Assess the wound and drainage. 
B)  Ask the AP to measure the wound. 
C)  Direct the AP to change the dressing. 
D)  Suggest the AP use a different type of dressing material. A

Question 2

A client has a clean moist wound. Which dressing should the nurse anticipate using for this client?

Accepted Answer

A)  Collagen 
B)  Hydrogel 
C)  Hydrocolloid 
D)  Clear absorbent acrylic 
A)  Collagen 
B)  Hydrogel 
C)  Hydrocolloid 
D)  Clear absorbent acrylic A

Question 3

Which task could the nurse safely assign to the assistive personnel (AP)?

Accepted Answer

A)  Changing the postoperative dressing on a clean wound 
B)  Irrigating the client's wound 
C)  Establishing and monitoring a sitz bath 
D)  Performing a damp-to-damp dressing change 
A)  Changing the postoperative dressing on a clean wound 
B)  Irrigating the client's wound 
C)  Establishing and monitoring a sitz bath 
D)  Performing a damp-to-damp dressing change C

Question 4

A client had staples removed from a surgical wound. Which should the nurse include when documenting the procedure?

Accepted Answer

A)  Type of surgery 
B)  Number of staples removed 
C)  Device used to remove the staples 
D)  Length of time the staples were intact 
A)  Type of surgery 
B)  Number of staples removed 
C)  Device used to remove the staples 
D)  Length of time the staples were intact

The assistive personnel (AP) notes purulent drainage seeping around a client's wound dressing. Which action should the nurse take?

A client has a clean moist wound. Which dressing should the nurse anticipate using for this client?

Which task could the nurse safely assign to the assistive personnel (AP)?

A client had staples removed from a surgical wound. Which should the nurse include when documenting the procedure?

Essential Skills

Infection Prevention

Vital Signs

Diagnostic Testing

Client Hygiene

Bedmaking

Heat and Cold Measures

Pain Assessment and Management

Positioning the Client

Mobilizing the Client

Fall Prevention, Restraints, and Seizure Precautions

Maintaining Joint Mobility

Drug Calculations

Administering Oral and Enteral Medications

Administering Topical Medications

Administering Parenteral Medications

Administering Intravenous Therapy

Feeding Clients

Assisting With Urinary Elimination

Assisting With Fecal Elimination

Caring for Clients With Peritoneal Dialysis

Promoting Circulation

Breathing Exercises

Oxygen Therapy

Suctioning

Caring for the Client With a Tracheostomy

Caring for the Client With Chest Tube Drainage

Administering Emergency Measures to the Hospitalized Client

Orthopedic Care

Performing Perioperative Care

End-Of-Life Care

Filters

Exam 31: Performing Wound and Pressure Injury Care

The assistive personnel (AP) notes purulent drainage seeping around a client's wound dressing. Which action should the nurse take?

A client has a clean moist wound. Which dressing should the nurse anticipate using for this client?

Which task could the nurse safely assign to the assistive personnel (AP)?

A client had staples removed from a surgical wound. Which should the nurse include when documenting the procedure?

Essential Skills

Infection Prevention

Vital Signs

Diagnostic Testing

Client Hygiene

Bedmaking

Heat and Cold Measures

Pain Assessment and Management

Positioning the Client

Mobilizing the Client

Fall Prevention, Restraints, and Seizure Precautions

Maintaining Joint Mobility

Drug Calculations

Administering Oral and Enteral Medications

Administering Topical Medications

Administering Parenteral Medications

Administering Intravenous Therapy

Feeding Clients

Assisting With Urinary Elimination

Assisting With Fecal Elimination

Caring for Clients With Peritoneal Dialysis

Promoting Circulation

Breathing Exercises

Oxygen Therapy

Suctioning

Caring for the Client With a Tracheostomy

Caring for the Client With Chest Tube Drainage

Administering Emergency Measures to the Hospitalized Client

Orthopedic Care

Performing Perioperative Care

End-Of-Life Care

Filters