A client requires a full-thickness graft to cover a chronic wound. How is the donor site selected?
The largest area of the body without hair is selected.
Any area that is not normally visible can be used.
An area matching the color and texture of the skin at the surgical site is selected.
An area matching the sensory capability of the skin at the surgical site is selected.
An area matching the sensory capability of the skin at the surgical site is selected.
The Correct Answer is C
Choice A rationale
The largest area of the body without hair is not selected as it is not necessary for the graft to be hairless. The primary concern is matching the color and texture, not the absence of hair.
Choice B rationale
Any area that is not normally visible is not ideal as visibility is not the primary concern. The donor site needs to match the surgical site in color and texture to ensure a natural appearance.
Choice C rationale
An area matching the color and texture of the skin at the surgical site is selected to ensure the graft blends well with the surrounding skin and appears natural once healed.
Choice D rationale
An area matching the sensory capability of the skin at the surgical site is not typically a concern in graft selection. The focus is on the appearance and integration of the graft.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
A CPP within normal limits ranges from 60 to 80 mm Hg, so a value of 40 mm Hg is not within this range.
Choice B rationale
A CPP of 40 mm Hg is considered low and indicates inadequate cerebral blood flow, which can result in brain ischemia and damage.
Choice C rationale
The reading of 40 mm Hg is considered accurate, as it reflects the current CPP of the client.
Choice D rationale
A CPP of 40 mm Hg is not high but low, indicating compromised cerebral perfusion.
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale
Improving school hygiene is essential for overall health but is not a direct method for preventing and controlling an outbreak of pediculosis. Lice infestations require specific targeted actions to be effectively managed, such as treating those infested and cleaning their belongings.
Choice B rationale
Insisting that everyone who is infested with lice follows the prescribed treatment is crucial for controlling the outbreak. Effective treatment eradicates lice and prevents their spread to others. Consistency in following the prescribed regimen is essential for successful management.
Choice C rationale
Washing clothing and vacuuming furniture, bedding, and carpets are vital steps in controlling lice outbreaks. Lice can survive on these items, leading to reinfestation. Thorough cleaning removes lice and their eggs, helping to prevent the spread and recurrence of infestation.
Choice D rationale
Performing hair inspection helps identify individuals who are infested with lice. Early detection allows for prompt treatment, which is critical in preventing the spread of lice to others. Regular inspections are a proactive measure in managing and controlling outbreaks.
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