Exam 18: Clients with Wounds

A client's dressing orders include calcium alginate (Kalistat). The nurse instructs the client that this application is appropriate for a(n)

The nurse predicts that the wound capable of becoming "ideally healed" is a(n)

A nurse is changing a dressing over a client's abdominal surgical incision. Which action by the nurse is most important?

On a client's admission to the hospital, the nurse notes that the client has a yellow sacral decubitus ulcer. The nurse anticipates that the most appropriate wound treatment would be

A nurse is caring for four clients. Which client should the nurse assess first? The client with a/an

A nurse is caring for a client with a chronic lower leg wound caused by venous insufficiency. Which action by the nurse is most appropriate?

A client must do dressing changes at home on a clean, but open, surgical wound. The nurse determines that goals for discharge instructions have been met when the client says:

A client comes to the clinic with a wound that does not seem to be healing. Which assessments should the nurse make on this client specific to the wound? (Select all that apply.)

A frail client with multiple chronic medical conditions has a chronic, infected, malodorous wound. The client begins to cry when the nurse tries to explain to the client an aggressive approach to wound care. The nurse should revise the plan to focus on

When caring for a client with a wound healing by secondary intention, the nurse considers during care planning that this type of wound is

A client has a large, sacral pressure ulcer with a red wound base and no drainage. Which solution would the nurse select as the most appropriate solution for cleansing this wound?

Four days after a client's surgery, the nurse assesses a collagen mass under the client's suture line as an indication of

A client has a small, shallow wound with a red base that does not require debridement. The dressing the nurse would choose when covering this wound is a

The nurse caring for a client receiving wet-to-dry dressings for mechanical debridement of a large wound would be aware that proper technique requires that the dressing should

On removing a dressing from a client on the third postoperative day, the nurse notes thin, pink-colored drainage and documents this as

A client with an open wound develops a temperature of 99.8° F. The most appropriate action by the nurse is to

The edges of a client's appendectomy incision are approximated, and no drainage is noted. The nurse documents on the client's wound record that the incision appears to be healing by

A client is being discharged and will need to perform wound care and dressing changes in the home on a large, open wound. When designing a teaching plan for discharge, the nurse should include which of the following elements? (Select all that apply.)

To assist in the healing of a large leg ulcer, the nurse applies wet dressings to the wound to promote

A client has a chronic, nonhealing ulcer on the lower leg. The nurse thinks the client could benefit from negative-pressure wound therapy. The most appropriate action by the nurse would be to