Question 1

The nurse removes the patient's hydrocolloid dressing and observes minimal clear,watery drainage.Which action should the nurse take at this time?

Accepted Answer

A)  Evaluate for leukocytosis. 
B)  Change to foam dressing. 
C)  Collaborate with the healthcare provider. 
D)  Document serous drainage. 
A)  Evaluate for leukocytosis. 
B)  Change to foam dressing. 
C)  Collaborate with the healthcare provider. 
D)  Document serous drainage.

Question 2

2. A _______ is a fungal or bacteria-embedded slimy matrix of proteins and sugars that adhere to the surface of a wound bed.

Accepted Answer

biofilm
These biofilms are kno

Question 3

The nurse prepares to change the patient's dressing over a surgical incision without drainage but palpates a ridge along the suture line.Which dressing should the nurse apply to this wound?

Accepted Answer

A)  Foam pad 
B)  Wet-to-dry 
C)  Transparent film 
D)  Dry sterile gauze 
A)  Foam pad 
B)  Wet-to-dry 
C)  Transparent film 
D)  Dry sterile gauze

Question 4

The nurse plans care for the patient's wound that requires a moist-to-dry dressing.Which should the nurse use for an expected patient outcome several hours after applying a new dressing?

Accepted Answer

A)  The patient states that the dressing feels cold. 
B)  The dressing is dry and intact. 
C)  The dressing has bright red drainage. 
D)  The patient states that the pain level is 8 on a scale of 1 to 10. 
A)  The patient states that the dressing feels cold. 
B)  The dressing is dry and intact. 
C)  The dressing has bright red drainage. 
D)  The patient states that the pain level is 8 on a scale of 1 to 10.

Question 5

The nurse is caring for a patient with a history of chronic respiratory problems who has an abdominal binder in place.Which should the nurse instruct nursing assistive personnel (NAP)to report as an unexpected outcome?

Accepted Answer

A)  The skin around the binder is dry without redness or edema. 
B)  The patient experiences difficulty moving around in bed. 
C)  The patient's pain level has changed from 8 to 6 on a scale of 1 to 10. 
D)  The respiratory rate has decreased from 17 to 15 breaths per minute. 
A)  The skin around the binder is dry without redness or edema. 
B)  The patient experiences difficulty moving around in bed. 
C)  The patient's pain level has changed from 8 to 6 on a scale of 1 to 10. 
D)  The respiratory rate has decreased from 17 to 15 breaths per minute.

Question 6

The nurse is preparing to change a moist-to-dry dressing on a patient.After correctly identifying the patient,what is the next most appropriate step for the nurse to perform?

Accepted Answer

A)  Assess patient/family's knowledge of the purpose of the dressing change. 
B)  Assess the dressing for the presence of drainage. 
C)  Ask the patient to rate his or her wound pain. 
D)  Review the order for the type of dressing. 
A)  Assess patient/family's knowledge of the purpose of the dressing change. 
B)  Assess the dressing for the presence of drainage. 
C)  Ask the patient to rate his or her wound pain. 
D)  Review the order for the type of dressing.

The nurse removes the patient's hydrocolloid dressing and observes minimal clear,watery drainage.Which action should the nurse take at this time?

2. A _______ is a fungal or bacteria-embedded slimy matrix of proteins and sugars that adhere to the surface of a wound bed.

The nurse prepares to change the patient's dressing over a surgical incision without drainage but palpates a ridge along the suture line.Which dressing should the nurse apply to this wound?

The nurse plans care for the patient's wound that requires a moist-to-dry dressing.Which should the nurse use for an expected patient outcome several hours after applying a new dressing?

The nurse is caring for a patient with a history of chronic respiratory problems who has an abdominal binder in place.Which should the nurse instruct nursing assistive personnel (NAP)to report as an unexpected outcome?

The nurse is preparing to change a moist-to-dry dressing on a patient.After correctly identifying the patient,what is the next most appropriate step for the nurse to perform?

Using Evidence in Nursing Practice

Communication and Collaboration

Documentation and Informatics

Patient Safety and Quality Improvement

Infection Control

Vital Signs

Health Assessment

Specimen Collection

Diagnostic Procedures

Bathing and Personal Hygiene

Care of the Eye and Ear

Promoting Nutrition

Pain Management

Promoting Oxygenation

Safe Patient Handling, transfer, and Positioning

Exercise Mobility

Traction, cast Care, and Immobilization Devices

Urinary Elimination

Bowel Elimination and Gastric Intubation

Ostomy Care

Preparation for Safe Medication Administration

Administration of Nonparenteral Medications

Administration of Parenteral Medications

Wound Care and Irrigation

Pressure Ulcers

Intravenous and Vascular Access Therapy

Preoperative and Postoperative Care

Emergency Measures for Life Support in the Hospital Setting

Palliative Care

Home Care Safety

Filters

Exam 26: Dressings,bandages,and Binders

The nurse removes the patient's hydrocolloid dressing and observes minimal clear,watery drainage.Which action should the nurse take at this time?

2. A _______ is a fungal or bacteria-embedded slimy matrix of proteins and sugars that adhere to the surface of a wound bed.

The nurse prepares to change the patient's dressing over a surgical incision without drainage but palpates a ridge along the suture line.Which dressing should the nurse apply to this wound?

The nurse plans care for the patient's wound that requires a moist-to-dry dressing.Which should the nurse use for an expected patient outcome several hours after applying a new dressing?

The nurse is caring for a patient with a history of chronic respiratory problems who has an abdominal binder in place.Which should the nurse instruct nursing assistive personnel (NAP)to report as an unexpected outcome?

The nurse is preparing to change a moist-to-dry dressing on a patient.After correctly identifying the patient,what is the next most appropriate step for the nurse to perform?

Using Evidence in Nursing Practice

Communication and Collaboration

Documentation and Informatics

Patient Safety and Quality Improvement

Infection Control

Vital Signs

Health Assessment

Specimen Collection

Diagnostic Procedures

Bathing and Personal Hygiene

Care of the Eye and Ear

Promoting Nutrition

Pain Management

Promoting Oxygenation

Safe Patient Handling, transfer, and Positioning

Exercise Mobility

Traction, cast Care, and Immobilization Devices

Urinary Elimination

Bowel Elimination and Gastric Intubation

Ostomy Care

Preparation for Safe Medication Administration

Administration of Nonparenteral Medications

Administration of Parenteral Medications

Wound Care and Irrigation

Pressure Ulcers

Intravenous and Vascular Access Therapy

Preoperative and Postoperative Care

Emergency Measures for Life Support in the Hospital Setting

Palliative Care

Home Care Safety

Filters