Hesi med surg form b questions and answers 20221. The nurse is caring for a patient with a wound. The patient appears
anxious as the nurse is preparing to change the dressing. Which action should the nurse take?
a. Turn on the television.
b. Explain the procedure.
c. Tell the patient “Clo...
Hesi med surg form b questions and answe
rs 2022
1. The nurse is caring for a patient with a wound. The patient appears
anxious as the nurse is preparing to change the dressing. Which actionshould the nurse
take?
a. Turn on the television.
b. Explain the procedure.
c. Tell the patient “Close your eyes.”
d. Ask the family to leave the room.
ANS: B
Explaining the procedure educates the patient regarding the dressing change and
involves him in the care, thereby allowing the patient somecontrol in decreasing
anxiety. Telling the patient to close the eyes and turning on the television are
distractions that do not usually decrease a
patient’s anxiety. If the family is a support system, asking support systemsto leave the
room can actually increase a patient’s anxiety.
2. The nurse is cleansing a wound site. As the nurse administers theprocedure,
which intervention should be included?
Allow the solution to flow from the most contaminated to the least
a. contaminated.
b. Scrub vigorously when applying noncytotoxic solution to the skin.
[Type here]
, 2
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c. Cleanse in a direction from the least contaminated area.
d. Utilize clean gauze and clean gloves to cleanse a site.
ANS: C
Cleanse in a direction from the least contaminated area, such as from the wound or
incision, to the surrounding skin. While cleansing surgical or traumatic wounds by
applying noncytotoxic solution with sterile gauze or byirrigations is correct, vigorous
scrubbing is inappropriate and can cause damage to the skin. Use gentle friction when
applying solutions to the skin, and allow irrigation to flow from the least to the most
contaminated area.
3. The nurse is caring for a patient after an open abdominal aortic aneurysm repair.
The nurse requests an abdominal binder and carefully
applies the binder. Which is the best explanation for the nurse to use when 1
teaching the patient the reason for the binder?
[Type here]
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