A 28-year-old male is a patient at your clinic.
He states that he had a minor accident with his motorcycle 5 days ago.
He sustained several scrapes and wounds.
The wound on his calf has a pinkish-red center area that looks bumpy.
This indicates that the wound is:
Is purulent.
Becoming infected.
Needs to be débrided.
Beginning to heal.
The Correct Answer is D
Choice A rationale:
Purulent indicates pus, which is not described here.
Choice B rationale:
Infection usually presents with redness, swelling, and possibly pus, which is not described here.
Choice C rationale:
Debridement is the removal of dead tissue, not indicated by a pinkish-red bumpy area.
Choice D rationale:
A pinkish-red center area that looks bumpy indicates granulation tissue, which is a sign of healing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Purulent drainage is thick and often has a foul odor. It is often a sign of infection and can have a variety of colors, including yellow, green, or brown. This is not the correct choice because the description does not match the question.
Choice B rationale:
Serous drainage is clear and watery, often seen in normal healing processes. This is not the correct choice because the description does not match the question.
Choice C rationale:
Sanguinous drainage is fresh blood, often seen in deep wounds or when a wound is disturbed. This is not the correct choice because the description does not match the question.
Choice D rationale:
Serosanguineous drainage is a mixture of blood and serous fluid, often seen in new wounds. This matches the description given in the question.
Correct Answer is C
Explanation
Choice A rationale:
Full thickness skin loss with visible adipose tissue is characteristic of a stage 3 pressure injury, not stage 1.
Choice B rationale:
Full thickness skin loss with visible bone is characteristic of a stage 4 pressure injury, not stage 1.
Choice C rationale:
Stage 1 pressure injuries are characterized by intact skin with localized erythema.
Choice D rationale:
Partial-thickness skin loss with red tissue in the wound bed is characteristic of a stage 2 pressure injury, not stage 1.
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