H&H: Practices exam questions
and answers
A client on prolonged bed rest has developed a pressure ulcer. The wound
shows no signs of healing even though the client has received skin care
and has been turned every 2 hours. Which factor is most likely responsible
for the failure to heal?
Select one:
a. Low calcium level
b. Inadequate protein intake
c. Inadequate vitamin D intake
d. Inadequate massaging of the affected area - answer b. Inadequate
protein intake
When changing the dressing on a pressure ulcer, a nurse notes necrotic
tissue on the edges of the wound. Which action should the nurse
anticipate that the physician will order?
Select one:
a. Incision and drainage
b. Culture
c. Debridement
d. Irrigation - answer c. Debridement
For healing by secondary intention, a client's wound has been packed with
medicated dressings. The nurse assesses the wound. Which finding
indicates wound healing?
Select one:
a. The granulation tissue is at the wound edges
, b. The skin around the wound is edematous
c. The wound drainage is serous
d. The tissue surrounding the wound is red and hot - answer a. The
granulation tissue is at the wound edges
A 9-year-old client is brought to the emergency department with a sutured
wound with purulent drainage. The area around the wound is red and
warm to the touch, and the child is febrile. The parents want to know the
significance of the purulent drainage. What is the best response by the
nurse?
Select one:
a. "The drainage is an indication that the sutures were not tight enough."
b. "The drainage contains enzymes that are necessary for wound healing."
c. "Antibiotics cause the cells of the tissues to produce purulent
drainage."
d. "If a wound heals on the surface but infection remains, it will open and
drain. - answer d. "If a wound heals on the surface but infection remains,
it will open and drain.
Which intervention is essential when performing dressing changes on a
client with a diabetic foot ulcer?
Select one:
a. Applying a heating pad
b. Debriding the wound three times per day
c. Cleaning the wound with a povidone-iodine solution
d. Using sterile technique during the dressing change - answer d. Using
sterile technique during the dressing change
A client is recovering from an infected abdominal wound. Which foods
should the nurse encourage the client to eat to support wound healing
and recovery from the infection?
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