Nokea
The nurse assesses a deep wound. The area is covered by black and necrotic
tissue. What term would the nurse use when documenting this wound?
- A. Tunnelling
- B. Eschar
- C. Blanching
- D. Cellulitis
Correct Answer: B
Rationale:
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The client states, "Why am I getting protein supplements while I am healing
from a bed sore?"? What is the best response by the nurse?
- A. Because it is easy to digest.'
- B. Protein has amin acid that promotes wound healing.'
- C. If you do not like it, you do not have to take it.'
- D. These supplements have nothing to do with your wound,'
Correct Answer: B
Rationale:
What is an infectious disease that can be transmitted directly from one
person to another?
- A. A communicable disease
- B. A portal of exit from the reservoir
- C. A susceptible host
- D. A portal of entry to a host
Correct Answer: A
Rationale:
A client is post-operative day 1 and reports a sudden increase in blood-tinged
liquid draining from his incision after feeling a popping sensation. What is the
nurse's next action?
- A. Send the client back to surgery
- B. Assess the wound for signs of dehiscence
- C. Call the provider immediately
- D. Prepare to culture the wound
Correct Answer: B
Rationale:
A client has sustained an open fracture. How can the nurse best prevent
osteomyelitis in this client?
- A. Administer pain medication
- B. Use proper hand hygiene and strict infection control
- C. Delegate all client personal care to specific unlicensed assistive personnel
- D. Plate the client in contact precautions
Correct Answer: B
Rationale:
A client with lupus experience Raynaud's phenomenon. What should the nurse
include when providing client education about this?
- A. In order to avoid flare-ups of Raynaud's, ensure you wear gloves in winter.'
- B. In order to avoid flare-ups of Raynaud's, ensure you brush your teeth for 2 minutes.'
- C. In order to avoid flare-ups of Raynaud's, ensure to keep cool.'
- D. In order to avoid flare-ups of Raynaud's, ensure you wear sunscreen.'
Correct Answer: A
Rationale: