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GoNursingTestB - Nursing Test Banks 2023 EXAM 1. - CORRECT ANSWERS An obese patient on the unit has demonstrated difficulty healing a large pressure ulcer. The nurse correctly recognizes that this is most likely because of which of the following factors? A) - CORRECT ANSWERS The patient's s...

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GoNursingTestBanks.com - Nursing Test
Banks 2023 EXAM
1. - CORRECT ANSWERS An obese patient on the unit has demonstrated difficulty
healing a large pressure ulcer. The nurse correctly recognizes that this is most likely
because of which of the following factors?

A) - CORRECT ANSWERS The patient's size limits his activity level.

B) - CORRECT ANSWERS Adipose tissue is poorly vascularized.

C) - CORRECT ANSWERS Obesity is linked to impaired white blood cell function.

D) - CORRECT ANSWERS The amount of tissue needing healing will increase the
amount of time needed to adequately heal the wound.

Ans: - CORRECT ANSWERS B

- CORRECT ANSWERS Feedback:

- CORRECT ANSWERS Wound healing may be decreased in obese patients.
Because adipose tissue is relatively avascular, it provides only a weak defense against
microbial invasion and impairs delivery of nutrients to the wound.

2. - CORRECT ANSWERS A patient has been admitted to the acute care unit after
surgery to debride an infected skin ulceration. The surgeon reports plans to leave the
wound open to promote drainage and later close it. This represents what type of wound
healing?

A) - CORRECT ANSWERS Primary intention

B) - CORRECT ANSWERS Secondary intention

C) - CORRECT ANSWERS Tertiary intention

D) - CORRECT ANSWERS Quadratic intention

Ans: - CORRECT ANSWERS C

- CORRECT ANSWERS Feedback:

- CORRECT ANSWERS Healing by tertiary intention occurs when a delay ensues
between injury and wound closure. This type of healing also is referred to as delayed

, primary closure. It may happen when a deep wound is not sutured immediately or is
purposely left open until there is no sign of infection and then closed with sutures.
Wounds with minimal tissue loss, such as clean surgical incisions or shallow sutured
wounds, heal by primary intention. The edges of the primary wound are approximated
or lightly pulled together. Wounds with full-thickness tissue loss, such as deep
lacerations, burns, and pressure ulcers, have edges that do not readily approximate.
They heal by secondary intention. The open wound gradually fills with granulation
tissue.

3. - CORRECT ANSWERS The nurse is caring for a patient who has reported to the
Emergency Department with a steam burn to the right forearm. The burn is pink and has
small blisters. The burn is most likely which of the following?

A) - CORRECT ANSWERS First degree

B) - CORRECT ANSWERS Second degree

C) - CORRECT ANSWERS Third degree

D) - CORRECT ANSWERS Fourth degree

Ans: - CORRECT ANSWERS B

- CORRECT ANSWERS Feedback:

- CORRECT ANSWERS Partial-thickness burns may be superficial or moderate to
deep. A superficial partial-thickness burn (first degree; epidermal) is pinkish or red with
no blistering; a mild sunburn is a good example. Moderate to deep partial-thickness
burns (second degree; dermal or deep dermal) may be pink, red, pale ivory, or light
yellow-brown. They are usually moist with blisters. Exposure to steam can cause this
type of burn. A full-thickness burn (third degree) may vary from brown or black to cherry
red or pearly white. Thrombosed vessels and blisters or bullae may be present. The full-
thickness burn appears dry and leathery.

4. - CORRECT ANSWERS A patient with a history of pressure ulcers is discussing
nutrition with the nurse. The patient correctly indicates plans to include which of the
following in the diet to promote wound healing? Select all that apply.

A) - CORRECT ANSWERS Vitamin D

B) - CORRECT ANSWERS Vitamin B3 (niacin)

C) - CORRECT ANSWERS Vitamin B6 (pyridoxine)

D) - CORRECT ANSWERS Vitamin B7 (biotin)

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