Nokea
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).
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The patient is undergoing Negative Pressure Wound Therapy (NPWT) treatment for wound healing. Which would be your first priority in caring for this patient?
- A. Assess the patient for any complaints or problems in the wound area.
- B. Check the settings on the NPWT unit.
- C. Document your findings.
- D. Observe the dressing area.
Correct Answer: A
Rationale: Assessing the patient's condition first ensures any immediate issues (e.g., pain, leakage) are addressed.
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.
Superficial wounds heal faster when kept:
- A. Moist
- B. Dry
- C. Covered with a wet-to-dry dressing
- D. Debrided
Correct Answer: A
Rationale: Moist environments promote epithelialization and faster healing of superficial wounds.
The nurse places Dakin's solution in a wound for which purpose?
- A. Chemical debridement
- B. Healing
- C. Phagocytosis
- D. Primary intention
Correct Answer: A
Rationale: Dakin's solution chemically debrides by breaking down necrotic tissue.
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.