Exam 46: Skin Integrity and Wound Care

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The patient has rheumatoid arthritis,is prone to skin breakdown,and is also somewhat immobile because of arthritic discomfort.Which of the following interventions is the best one for this patient's skin integrity?

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Which of the following statements is true for wounds that heal by primary intention?

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A patient comes to the emergency department with a puncture wound.What is the primary danger of a puncture wound?

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How should the nurse clean a wound?

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On inspection of the patient's wound,the nurse notes that it appears infected and has a large amount of exudate.Which of the following is an appropriate dressing for the nurse to select based on this wound assessment?

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The patient requires support,and an abdominal binder is ordered.How does the nurse correctly implement the use of the binder?

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The nurse prepares to irrigate the patient's wound.What is the primary purpose of this procedure?

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The nurse observes thin,watery fluid draining from the left ear of a patient who has sustained a head injury.How would the nurse document this drainage in the patient's chart?

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