Wound Care Quiz 14

Question 1

A nurse is planning to change an abdominal dressing for a client who has an incision with a drain. Which of the following actions should the nurse plan to take?

Answer 1

Don clean gloves to remove the dressing

Question 2

A nurse is educating clients in a sleep clinic about rapid eye movement sleep. Which of the following is the most accurate statement for the sleep cycle?

Answer 2

This stage has vivid full color dreams

Question 3

A nurse is caring for a client who is complaining of pain and request pain medication. Which of the following actions should the nurse perform first?

Answer 3

Determine the location of the pain

Question 4

A nurse is reinforcing teaching with a client who has disease of the arteries and reports pain while walking. Which herbal supplement could the patient used to increase circulation to extremities and increase tissue perfusion?

Answer 4

Ginkgo biloba

Question 5

A nurse is caring for a client who is three days post operative following a surgical procedure. The nurse suspects the client saloon is infected because the drainage on the dressing is yellow and thick. Which of the following findings should the nurse report as this type of drainage sound?

Answer 5

Purulent

Question 6

Which of the following best defines rest?

Answer 6

Allows person to feel mentally relax, free from worry and physically calm

Question 7

A nurse is reinforcing discharge teaching to a client about nutrition therapy for wound healing following major surgery, which of the following vitamins should the nurse include in the teaching as providing with healing

Answer 7

Vitamin A and vitamin C

Question 8

A nurse is caring for a patient who is using a patient controlled pump for postoperative pain management. The nurse enters a room to find the patient’s partner pressing the button to dispense it does have medication. Which of the following responses should the nurse make

Answer 8

Your husband should decide when he needs more pain medication

Question 9

A nurse is caring for a new admit to the surgical floor and understand that she must include pain assessment. Which is this assessment considered to be part of?

Answer 9

Vital signs

Question 10

A nurse is preparing to perform wound care and remove staples from the clients incision following a hip replacement identify the sequence the nurse should follow

Answer 10

Remove the wound dressing, wife cleansing solution directly over the surgical incision, clean the skin along the sides of the incision, remove every other staple, and remove remaining staples

Question 11

Which of the following is a general guideline of pain management

Answer 11

It is easier to prevent severe pain then to relieve it

Question 12

The nurse explains that transcutaneous electrical nerve stimulation provides a continuous electrical current to the skin and reduce his pain by?

Answer 12

Blocking pain impulses

Question 13

A nurse is caring for a client with anxiety. The nurse recommends a relaxation therapy that allows for civilizations of a particular scenario. Which of the following describes that therapy?

Answer 13

Imagery

Question 14

The nurse reminded the client that primary intention has a marked advantage over other phases of when healing in that?

Answer 14

Minimal scars results

Question 15

A nurse is caring for a client who has a large wound that has a vacuum assisted closer to Weiss place over it which of the following findings the nurse indicate healing of the wound?

Answer 15

Granulation tissue on the surface of the world

Question 16

A nurse is collecting data from a client who has severe dementia and a fractured femur from a fall. Which of the following manifestations should the nurse understand is a physical finding of a patient with acute pain?

Answer 16

Increased pulse rate

Question 17

Which of the following descriptions best defines the gate control theory?

Answer 17

The brain does not have the capacity to acknowledge pain while it’s interpreting other stimuli

Question 18

Care plan has been developed for a patient with chronic pain. Which of the following approaches will the nurse be using for pain management?

Answer 18

A combination of noninvasive pain relief measures and medication

Question 19

A nurse is collecting data on for clients who have wounds. The nurse should recognize which of the following clients as a manifestation of a wound infection?

Answer 19

Find who has swelling and tenderness around the wound

Question 20

The nurse is caring for a patient who is experiencing menopausal changes and is requesting information about the use of herbal therapies to relieve her discomfort. Which of the following statements should the nurse make?

Answer 20

Herbal products have not undergone long-term testing for safety and efficiency

Question 21

Hot and cold therapy should be used cautiously in patients who have an altered level of consciousness or disoriented because?

Answer 21

They are at risk for injury from application

Question 22

A nurse is performing a dressing change on a two day post operative client. Which of the terms to the nurse use to document pale red watery discharge?

Answer 22

Serous

Question 23

Which of the following types of drainage system describes an open ended tube that drains into a receptacle or out into the dressing?

Answer 23

Open drainage

Question 24

A nurse is preparing to document a complete dressing change. Which of the following actions should the nurse document?

Answer 24

Patient teaching, status of the wound, patient responds, type of dressing done

Question 25

The healthcare provider has ordered the patient when to be irrigated. What is the primary rationale for this procedure?

Answer 25

To remove debris from the wound

Question 26

The nurse explains that most patients require pain level of ———- or less to function well

Answer 26

4

Question 27

In an attempt to make the client comfortable during a dressing change. The nurse may administer an analgesic

Answer 27

30 minutes prior to the change

Question 28

A nurse is assisting with the care of a client who is postoperative and has a close one drainage system in place. Which of the following actions should the nurse take?

Answer 28

Replace a drainage plug after releasing hand Prairie on the device

Question 29

A nurse is collecting data on a patient experiencing pain. Which of the following objective signs with the nurse document

Answer 29

Restlessness, moaning, diaphoresis, muscle tension

Question 30

A nurse is caring for a client who is postoperative which of the following actions should the nurse take as To prevent an incision infection?

Answer 30

Perform hand hygiene prior to dressing change

Question 31

The nurse is caring for a client with A wound that is draining pus and has erythema and edema which stage of healing is this one?

Answer 31

Inflammatory stage