Wound cleansing - Study guides, Class notes & Summaries

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 action should 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 some control in decreasing anxiety. Telling the...

Ch. 29 - Wound Care & Skin Integrity exam questions and answers A nurse is managing wound care for a patient with a stage III pressure ulcer on the elbow. The nurse cleans the area and removes all the dead, nonviable tissue from the wound. Which term is used to describe this process? Irrigation Debridement Hemostasis Cleansing - Correct Answers Debridement Rationale Removal of nonviable necrotic tissue from the wound is called debridement, which can be accomplished chemically...

HESI PN EXIT V1 110 QUESTIONS AND ANSWER 2023/2024 LATEST UPDATE HESI PN EXIT V1 110 QUESTIONS AND ANSWER 2023/2024 LATEST UPDATE 1. The practical nurse enters a male client's room to administer routine morning medications, and the client is on the phone. Which action is best for the PN to take? A. Ask another nurse to go back with the medication when the client's hung up the phone B. Wait for the client to excuse himself from the telephone conversation, and observe the client takin...

B. Wound Ostomy Continence Nurse The wound ostomy continence nurse (WOCN) is the most important person to contact to schedule teaching sessions and follow-up care. This nurse specialist is certified in the treatment of patients who have a bowel or bladder diversion. Although team input is important, the contribution of the WOCN is paramount to help the patient achieve competence and comfort with self-care before discharge. - answer-1. A patient is being discharged from the hospital with a ...

Your client has a Braden scale score of 17. Which is the most appropriate nursing action? 1. Assess the client again in 24h; the score is within normal limits. 2. Implement a turning schedule; the client is at increased risk for skin breakdown. 3. Apply a transparent wound barrier to major pressure sites; the client is at moderate risk for skin breakdown. 4. Request an order for a special low-air-loss bed; the client is at very high risk for skin breakdown. - Answer 2. Implement a turn...

Chapter 48: Skin Integrity and Wound Care (Skin Integrity and Wound Care - Implementation and Evaluation) Questions With Solutions The nurse is managing wound care for a patient with a stage III pressure ulcer on the elbow. The nurse cleans the area and removes all the dead, nonviable tissue from the wound. What term is used to describe this process? A. Irrigation *B. Debridement* C. Hemostasis D. Cleansing

HESI Fundamentals Exam V6 (VERSION 6) (130 Questions with Answers) (2023/2024) (Graded A+) HESI Fundamentals Exam V6 (VERSION 6) 1. A nurse is teaching a group of older adults about expected changes of aging. Which of the following statements by a group member indicates that the teaching has been effective? "I should expect my heart rate to take longer to return to normal after excessive as I get older." 2. A nurse is caring for a client who is postoperative and h...

When cleaning a wound during a dressing change, in what direction should the cleansing of the wound take place? Outward from the wound in a circular motion. Towards the wound in a circular motion. Clean around the wound edge only. Away from the wound in a linear pattern. - Correct Answer Outward from the wound in a circular motion. What is a reason to use a wet to dry dressing? To keep the wound moist. To decrease healing time. To debride a wound. To keep the wound from becoming ...

Practice Test Questions Chapter 36; Skin Integrity & Wound Care questions and answers Your client has a Braden scale score of 17. Which is the most appropriate nursing action? 1. Assess the client again in 24h; the score is within normal limits. 2. Implement a turning schedule; the client is at increased risk for skin breakdown. 3. Apply a transparent wound barrier to major pressure sites; the client is at moderate risk for skin breakdown. 4. Request an order for a special low-air-loss b...

MDC final Exam Questions and Answers Already Passed What lifestyle habits negatively affect skin integrity? select all that apply a. Tanning c. Smoking e. Tattoos Which of the following statements made by a client diagnosed with human immunodeficiency virus (HIV) would require further teaching? b. I will only need to take HIV medications for 6 months and I will be cured A has acquired immunodeficiency syndrome (AIDS). which of these assessment findings indicate possible infe...