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Tissue Integrity (RNSG 1430) questions with verified answers

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A client's wound is draining thick yellow material. The nurse correctly describes the drainage as 1. Sanguineous 2. Serous-sanguineous 3. Serous 4. Purulent Ans purulent; Drainage is described as purulent. Sanguineous and Serous-sanguineous contain blood. Serous is clear and watery. A nurse is caring for patients with a variety of wounds. Which would will most likely heal by primary intention? 1. Cut in the skin from a kitchen knife 2. Excoriated perineal area 3. Abrasion of the skin 4. Pressure ulcer Ans 1. Cut in the skin from a kitchen knife; A cut in the skin by a sharp instrument with minimal tissue loss can heal by primary intention when the wound edges are lightly pulled together (approximated). Chain of Infection Ans Infectious agent A reservoir or source for pathogen growth

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Tissue Integrity (RNSG 1430) questions with verified
answers
A client's wound is draining thick yellow material. The nurse correctly describes
the drainage as
1. Sanguineous
2. Serous-sanguineous
3. Serous
4. Purulent Ans✓✓✓ purulent; Drainage is described as purulent. Sanguineous
and Serous-sanguineous contain blood. Serous is clear and watery.


A nurse is caring for patients with a variety of wounds. Which would will most
likely heal by primary intention?
1. Cut in the skin from a kitchen knife
2. Excoriated perineal area
3. Abrasion of the skin
4. Pressure ulcer Ans✓✓✓ 1. Cut in the skin from a kitchen knife; A cut in the skin
by a sharp instrument with minimal tissue loss can heal by primary intention
when the wound edges are lightly pulled together (approximated).


Chain of Infection Ans✓✓✓ Infectious agent
A reservoir or source for pathogen growth
a port of exit from the source
a mode of transmission
a port of entry to a host
a susceptible host

, Contaminated vs. Infection Ans✓✓✓ Contamination: a wound that is exposed is
always contaminated but not always infected. Contamination is the presence of
organisms without any manifestations of infection
Infection: wound is contaminated with pathogenic organisms to that degree that
growth and spread cannot be controlled by the body's immune defense


Diagnostic Tests for Impetigo Ans✓✓✓ Physical exam
Wound culture


Factors that delay wound healing Ans✓✓✓ vitamin c, protein, zinc,
corticosteroids, infection, smoking, advanced age


Full-thickness Wound repair Ans✓✓✓ hemostasis, inflammatory, proliferative,
and maturation


Goals regarding Trauma and Surgical Wounds Ans✓✓✓ Initial and secondary
goals: control bleeding, prevent infection, control pain, assess signs of shock


Hyperbaric Oxygen Treatment Ans✓✓✓


Impetigo Contagiosa Ans✓✓✓


Infectious agents include Ans✓✓✓ bacteria, viruses, fungi, protozoa


Is impetigo Contagious? Ans✓✓✓ Yes, Impetigo is contagious, meaning it can
spread to others.

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