Nokea
A nurse is caring for a client who has multiple sclerosis and a chronic nonhealing wound. The nurse should recognize that which of the following types of medications is known to delay wound healing?
- A. Anticholinergics
- B. Corticosteroids
- C. Beta-blockers
- D. Tricyclic antidepressants
Correct Answer: B
Rationale: Corticosteroids suppress inflammation and collagen synthesis, delaying wound healing.
You may also like to solve these questions
What stage is a wound if the epidermis is closed and has unblanchable redness?
- A. Stage 1
- B. Stage 2
- C. Stage 3
- D. Stage 4
Correct Answer: A
Rationale: Stage 1 pressure injuries show unblanchable redness with intact skin.
A 28-year-old male patient at your clinic reports a minor motorcycle accident that occurred 5 days ago, resulting in several scrapes and wounds. The wound on his calf has a pinkish-red center area that appears bumpy. What does this indicate about the wound?
- A. Beginning to heal
- B. Suppurating
- C. Becoming infected
- D. Needs to be debrided
Correct Answer: A
Rationale: Pinkish-red, bumpy tissue indicates granulation, a sign of healing in the proliferative phase.
The nurse is performing a dry sterile dressing change for an abdominal wound. In which direction should the nurse use a swab to clean?
- A. Directly over the wound
- B. In a circular motion around the wound, circling to the outside
- C. From the outer abdomen toward the wound
- D. From the left to the right across the wound
Correct Answer: C
Rationale: Cleaning from the outer abdomen toward the wound prevents contamination of the sterile field by moving from the least to the most contaminated area.
When changing the dressing on the patient's right arm, you see that the dressing has a moist yellow-red stain on it. How would you document this drainage?
- A. Sanguineous
- B. Serous
- C. Serosanguineous
- D. Purulent
Correct Answer: C
Rationale: Yellow-red drainage indicates serosanguineous (serum and blood mix), not purulent (pus) or sanguineous (blood only).
The nurse reminds the 85-year-old patient that his healing will be slower due to age-related changes such as: (Select all that apply)
- A. Atherosclerosis
- B. Diminished lung function
- C. Excessive production of blood factors
- D. Increased immunity
- E. slow metabolism
Correct Answer: A,B,E
Rationale: A: Reduces blood flow. B: Limits oxygen delivery. E: Slows cellular repair. Immunity decreases with age (not D), and blood factors don't increase (C).