A 28-year-old male patient at your clinic reports a minor motorcycle accident that occurred 5 days ago, resulting in several scrapes and wounds. The wound on his calf has a pinkish-red center area that appears bumpy. What does this indicate about the wound?
Beginning to heal
Suppurating
Becoming infected
Needs to be debrided
The Correct Answer is A
Choice A rationale
A pinkish-red center and a bumpy appearance in a wound are signs of granulation tissue formation, which is indicative of the healing process beginning.
Choice B rationale
Suppuration refers to the production of pus. Without additional information indicating pus or infection, the description provided does not suggest suppuration.
Choice C rationale
Becoming infected would typically involve signs such as increased pain, redness, swelling, warmth, and possibly pus, which are not described in the scenario.
Choice D rationale
Debridement is the removal of dead, damaged, or infected tissue to improve the healing potential of the remaining healthy tissue. The description given does not indicate the presence of such tissue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Numbing the area treated is not a primary physiological effect of moist heat. Moist heat therapy works by increasing the temperature of the skin and underlying tissues, which does not directly numb the area but can lead to an increased pain threshold.
Choice B rationale
Drawing fluid to the site of application is not a physiological effect of moist heat. While moist heat can increase local circulation, it does not specifically draw fluids to the application site³.
Choice C rationale
Dilating the blood vessels is a key physiological effect of moist heat. The increased temperature from the heat application causes vasodilation, which increases blood flow to the area, promoting healing and reducing muscle spasm⁴.
Choice D rationale
Constricting the blood vessels is not a physiological effect of moist heat. In fact, the opposite occurs; moist heat causes vasodilation, not vasoconstriction.
Correct Answer is B
Explanation
Choice A rationale
Abdominal pads are generally used for absorption and are not specifically designed to minimize pain during dressing changes.
Choice B rationale
Hydrogel dressings provide moisture to the wound, which can facilitate autolytic debridement and reduce pain during dressing changes. They are cooling and soothing, which can be comfortable for the patient.
Choice C rationale
Wet-to-dry dressings are used for mechanical debridement and can be painful when removed, as they may adhere to the wound bed and pull on new tissue.
Choice D rationale
Dry gauze can adhere to the wound and cause pain upon removal, similar to wet-to-dry dressings, and is not the best choice for minimizing pain.
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