Questions with Expert Graded A+
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1. Before performing a wound assessment, which nursing action would reduce
the patient's risk for infection?
A. Taking the patient's temperature
B. Applying clean gloves
C. Assessing the wound for drainage
D. Assessing the dressing for drainage - ANSWER B. Applying clean
gloves
2. The wound bed of a patient's pressure ulcer is red. What does this finding
indicate to the nurse?
A. Necrotic tissue
B. Presence of slough
C. Granulation tissue
D. Development of an infection - ANSWER C. Granulation tissue
3. Which measurements would the nurse use to calculate the surface area of a
patient's pressure ulcer?
A. Height and weight
B. Length and width
C. Length and depth
D. Width and depth - ANSWER B. Length and width
4. Which action reduces the nurse's risk for infection when changing the
dressing of an infected abdominal wound?
A. Begin antibiotic therapy before the dressing change.
B. Use appropriate personal protective equipment (PPE).
, C. Adhere to sterile technique during the intervention.
D. Complete the dressing change in an effective, timely way. -
ANSWER B. Use appropriate personal protective equipment (PPE).
5. Which action would minimize the risk for cross-contamination while
cleansing an infected abdominal surgical wound?
A. Cleansing the wound with sterile water
B. Blotting the incision with dry gauze
C. Wearing sterile gloves to cleanse the wound
D. Using a new gauze pad for each stroke while cleansing the wound -
ANSWER D. Using a new gauze pad for each stroke while cleansing
the wound
6. What is the nurse's best response when additional bloody drainage appears
on the initial abdominal dressing of a patient who had surgery 7 hours ago?
A. Notify the surgeon of the bleeding.
B. Remove the dressing, and assess the wound.
C. Assess the patient for signs of shock.
D. Further assess the patient and the wound. - ANSWER D. Further
assess the patient and the wound.
7. A patient complains of pain during a dressing change. What would be the
most effective intervention the nurse could initiate at the next dressing
change in order to reduce the patient's pain?
A. Premedicate the patient with a prescribed analgesic 30 minutes before
the intervention.
B. Use a distraction technique to divert the patient's attention during the
procedure.
C. Position the patient comfortably before the intervention.
D. Thoroughly explain the procedure to the patient. - ANSWER A.
Premedicate the patient with a prescribed analgesic 30 minutes before
the intervention.