A client is receiving wound care to a laceration on the anterior palm of the right hand. The practical nurse applies a medicated gauze and stabilizes it with an elastic support wrap that encompasses the wrist. Which bandaging method should the PN use that will maintain the medicated gauze in place and facilitate movement of the wrist joint?
Circular or spiral.
Figure-eight turns.
Arm sling.
Glove or sock.
The Correct Answer is B
A. Circular or spiral: Circular or spiral turns are useful for covering areas of uniform thickness like the forearm or lower leg. However, they do not provide the necessary flexibility and joint support needed for an area like the wrist that requires frequent movement.
B. Figure-eight turns: Figure-eight bandaging is ideal for joints such as the wrist because it provides secure stabilization while allowing some range of motion. It supports the bandage placement over the wound and accommodates natural joint movement without slipping or tightening.
C. Arm sling: An arm sling supports the entire arm, typically used for fractures or shoulder injuries. It does not address localized wound care needs on the palm or help secure a dressing at the wrist specifically.
D. Glove or sock: A glove or sock dressing covers an entire hand or foot but would not adequately stabilize a dressing over a specific wound on the palm while allowing wrist mobility. It also may not keep the dressing in firm contact with the wound.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Limit ROM assessment to the lower extremities only: Focusing only on the lower extremities does not fully address the concern. Any physical exertion could further strain the respiratory system when the client is already tachypneic and in distress.
B. Defer ROM assessment because of the respiratory rate: A respiratory rate of 30 breaths per minute indicates respiratory distress. Physical exertion, even mild, could worsen oxygenation issues. Protecting respiratory function is the priority, so the ROM assessment should be deferred until the client's condition stabilizes.
C. Ask client to perform flexion and extension of arms 5 times: Even minimal arm movements could increase oxygen demand and fatigue in a client already experiencing respiratory compromise, making this unsafe at the moment.
D. Observe the client performing lateral flexion of the waist: Lateral flexion involves significant muscular effort and could further tax respiratory function. It is not appropriate when the client is tachypneic and needs respiratory support.
Correct Answer is ["31"]
Explanation
Total volume to be infused: 250 mL of tube feeding.
To be infused over 8 hours.
Calculate the infusion rate in mL per hour.
Infusion rate (mL/hour) = Total volume (mL) / Total infusion time (hours)
= 250 mL / 8 hours
= 31.25
Round to the nearest whole number: 31.
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