Nokea
A client states that he has been experiencing oozing from his wounds. What is
the nurse's priority action?
- A. Insert the wound and assess the drainage
- B. Apply topical ointment to the wound
- C. Call the provider to initiate antibiotics
- D. Culture the wound
Correct Answer: D
Rationale:
You may also like to solve these questions
By providing measures to reduce skin breakdown, how does the nurse break the
chain of infection?
- A. Sterilizing the area to reduce the reservoir risk
- B. Maintaining the integrity of a portal of entry
- C. Creating a reservoir to decrease the risk of infection
- D. Creating a susceptible host
Correct Answer: B
Rationale:
The nurse assesses a wound with exudate. What should not be included when
documenting the exudate?
- A. Amount
- B. Consistency
- C. Heat
- D. Odor
Correct Answer: C
Rationale:
Which assessment is NOT a nonverbal sing of pain?
- A. Decreased attention span
- B. Grimacing
- C. Increase in heart rate
- D. Reported pain of 5/10
Correct Answer: D
Rationale:
The nurse will be using the Braden Scale with each admit to the long-term care
center. Which of these will NOT be utilized in a Braden Scale Assessment?
- A. Mental state
- B. Friction and shear
- C. Nutrition
- D. Sensory perception
Correct Answer: A
Rationale:
Which organization publishes the National Patient Safety Goals?
- A. The Joint Commission
- B. Medicare
- C. The American Nurses Association
- D. The Institute of Medicine
Correct Answer: A
Rationale: