Remotely Proctored | Latest Review Guide
1. A nurse observes that a postoperative patient has developed increased
warmth and swelling around the incision site. What should the nurse's next
step be in managing this potential complication?
Assess for additional signs of infection and notify the healthcare
provider.
Apply a cold compress to the incision site.
Change the dressing to a more absorbent type.
Document the findings and continue with routine care.
2. You understand that patients with Penrose drain will require the following
care:
The drain must be connected to suction if ordered.
The drain is not sutured in place, so care is taken to not dislodge it.
The suction pulls drainage away from the wound as it re-expands.
The drain must be compressed after emptying to work properly.
3. The patient asks what else she can do for the knee pain. The nurse suggests
the use of cold on the knee because it will
focus attention to the area, stimulating healing.
distract from the pain.
directly reduce swelling, which will reduce pain.
relax the muscles, reducing pain.
, 4. If a patient presents with a contaminated wound that has developed redness
and increased warmth, what should be the immediate nursing intervention?
Apply a new dressing without assessment.
Assess the wound for additional signs of infection and notify the
healthcare provider.
Ignore the symptoms as they are normal.
Administer antibiotics without a doctor's order.
5. Describe why drying a wound after irrigation is important in wound care
management.
Drying a wound prevents the formation of scabs.
Drying a wound after irrigation helps to create an optimal
environment for healing and reduces the risk of infection.
Drying a wound is unnecessary as moisture is beneficial for all
wounds.
Drying a wound is only important for surgical wounds.
6. Which of the following procedures should be done with changing a sterile
dressing?
cleanse the wound from the center inward
cleanse the wound from the bottom of the wound to the top
cleanse the wound from the top of the wound to the bottom
cleanse the wound from side to side
7. If a nurse notices increased redness and swelling around a Penrose drain site,
what should be the immediate nursing action?