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 B
Explanation
Choice A rationale
Cleaning directly over the wound with a swab could be harmful as it may disrupt the healing tissue. This method does not follow the principles of medical asepsis, which aim to reduce the risk of infection and promote wound healing.
Choice B rationale
The correct technique for cleaning a wound is to use a swab in a circular motion starting at the center and moving outward. This method helps to prevent recontamination of the clean area and is consistent with aseptic principles, ensuring that any contamination is moved away from the wound, not towards it.
Choice C rationale
Cleaning from the outer abdomen toward the wound could potentially bring contaminants from the less clean abdomen into the sterile area of the wound. This would increase the risk of infection and is not the recommended practice.
Choice D rationale
Swabbing from one side to the other across the wound does not ensure that contaminants are moved away from the wound area. It could spread bacteria across the surface, which is not conducive to proper wound care.
Correct Answer is ["A","B","C","E"]
Explanation
Choice A rationale
Keeping the skin and surrounding tissue clean and dry helps prevent infection, which is crucial for proper wound healing. A clean environment is less likely to harbor bacteria that can cause complications.
Choice B rationale
Proper nutrition, particularly adequate protein and vitamins, provides the necessary building blocks for tissue repair and supports the immune system, which is essential for healing.
Choice C rationale
Resting and minimizing movement of the incisional area help prevent further injury and allow the body’s resources to focus on the healing process.
Choice D rationale
While fluid intake is important, 4000 mL per day may be excessive unless specifically recommended for the patient’s condition. Overhydration can be harmful.
Choice E rationale
Exercise and deep breathing increase blood flow and oxygenation to tissues, which are vital for healing. Oxygen is needed for cellular functions that repair tissue.
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