A community health nurse is teaching a group of clients about first aid for different types of wounds. Which of the following client statements Indicates an understanding of the teaching?

"I should apply clean dressings over the top of blood saturated dressings and hold pressure."

"I can clean wounds with hydrogen peroxide."

"I can carefully remove the object from a penetrating wound."

"I should place the affected area in a dependent position."

Answer and Explanation

The Correct Answer is A

A. "I should apply clean dressings over the top of blood-saturated dressings and hold pressure.” This prevents disruption of clot formation and controls bleeding.

B. "I can clean wounds with hydrogen peroxide.” Hydrogen peroxide can damage healthy tissue and delay healing.

C. "I can carefully remove the object from a penetrating wound.” Objects should be left in place until medical professionals remove them.

D. "I should place the affected area in a dependent position.” Elevating an injured limb helps reduce swelling and bleeding.

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Correct Answer is B

Explanation

A. Document shiny, taut skin as an expected finding. Shiny, taut skin may indicate ascites or fluid retention, which are abnormal findings.

B. Perform palpation after auscultation. Palpation should always follow auscultation to avoid altering bowel sounds.

C. Listen for 1 min before documenting absent bowel sounds. Bowel sounds are considered absent only after listening for at least 5 minutes in each quadrant.

D. Perform auscultation immediately after the client has consumed a meal. Post-meal auscultation may result in altered bowel sounds, making the assessment unreliable.

A. Papule B. Vesicle C. Nodule D. Macule

Correct Answer is D

Explanation

A. Papule – A papule is a raised, solid lesion (e.g., a mole) and is palpable, not flat.

B. Vesicle – A vesicle is a fluid-filled blister (e.g., herpes, chickenpox), which is not the case here.

C. Nodule – A nodule is a deep, raised lesion that extends into the dermis or subcutaneous tissue.

D. Macule – A macule is a flat, nonpalpable skin discoloration that is less than 1 cm (e.g., a freckle or petechiae).

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A community health nurse is teaching a group of clients about first aid for different types of wounds. Which of the following client statements Indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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