Nokea
When applying an ice pack, it is necessary to:
- A. Fill the pack and refreeze it.
- B. Cover the pack with plastic wrap.
- C. Use a light cover over the pack.
- D. use small ice cubes
Correct Answer: C
Rationale: A light cover prevents direct skin contact, reducing frostbite risk while allowing cold therapy.
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A nurse explains that the major purpose of the use of a hydrocolloid dressing is to:
- A. Keep the wound dry.
- B. Leave the dressing in place for 7 days.
- C. Help destroy microorganisms in an infected wound.
- D. Promote a moist healing environment.
Correct Answer: D
Rationale: Hydrocolloid dressings maintain a moist environment to promote autolytic debridement and healing, not to dry the wound or kill microbes directly.
A nurse is concerned about an HIV immunocompromised patient's ability to heal due to a lack of certain factors. Which of the following are necessary for proper wound healing? (Select all that apply.)
- A. Adequate fibroblast function
- B. Intrinsic factor
- C. Synthesis of collagen
- D. Hemoglobin
- E. Adequate phagocytosis
Correct Answer: A,C,D,E
Rationale: A: Fibroblasts produce collagen. C: Collagen strengthens the wound. D: Hemoglobin delivers oxygen. E: Phagocytosis removes debris. Intrinsic factor (B) is unrelated to wounds.
The nurse warns the patient that one of the patient's habits has caused the reduction of functional hemoglobin, which limits the hemoglobin's oxygen-carrying ability. To improve this situation, the nurse suggests that the patient quit:
- A. Using marijuana.
- B. Eating excessive fats.
- C. Smoking cigarettes.
- D. Drinking
Correct Answer: C
Rationale: Smoking introduces carbon monoxide, reducing hemoglobin's oxygen-carrying capacity.
When giving a hot soak treatment, what is most important to ensure?
- A. Soak only the affected area.
- B. Position the patient comfortably.
- C. Monitor the temperature of the water.
- D. Check the patient's skin integrity.
Correct Answer: C
Rationale: Monitoring water temperature prevents burns, the primary safety concern with hot soaks.
Which type of wound debridement is Dakin's solution used for?
- A. Autolytic debridement
- B. Sharp debridement
- C. Enzymatic debridement
- D. Chemical debridement
Correct Answer: D
Rationale: Dakin's solution is a chemical debridement agent that breaks down necrotic tissue.