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A nurse explains that the major purpose of the use of a hydrocolloid dressing is to:

Keep the wound dry.

Help destroy microorganisms in an infected wound.

Leave the dressing in place for 10 days.

Occlude air and promote breakdown of necrotic tissue.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Hydrocolloid dressings do not keep the wound dry; they maintain a moist environment.

Choice B rationale:

These dressings do not have antimicrobial properties.

Choice C rationale:

While these dressings can be left in place for several days, it is not their major purpose.

Choice D rationale:

Hydrocolloid dressings occlude air and promote autolytic debridement of necrotic tissue.

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Correct Answer is C

Explanation

Choice A rationale:

Cleaning from left to right across the wound can introduce bacteria from the surrounding skin into the wound, which can lead to infection.

Choice B rationale:

Cleaning from the outer abdomen toward the wound can also introduce bacteria from the surrounding skin into the wound.

Choice C rationale:

Cleaning in a circular motion around the wound, circling to the outside, helps to move bacteria away from the wound and reduce the risk of infection.

Choice D rationale:

Cleaning directly over the wound can disrupt the healing process and potentially introduce bacteria into the wound.

A. Full thickness skin loss with visible adipose tissue. B. Full thickness skin loss with visible bone. C. Intact skin with localized erythema. D. Partial-thickness skin loss with red tissue in the wound bed.

Correct Answer is C

Explanation

Choice A rationale:

Full thickness skin loss with visible adipose tissue is characteristic of a stage 3 pressure injury, not stage 1.

Choice B rationale:

Full thickness skin loss with visible bone is characteristic of a stage 4 pressure injury, not stage 1.

Choice C rationale:

Stage 1 pressure injuries are characterized by intact skin with localized erythema.

Choice D rationale:

Partial-thickness skin loss with red tissue in the wound bed is characteristic of a stage 2 pressure injury, not stage 1.

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A nurse explains that the major purpose of the use of a hydrocolloid dressing is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is performing a dry sterile dressing change for an abdominal wound.The nurse should use a swab to clean:

Correct Answer is C

Explanation

A nurse is collecting data on a client who has a stage 1 pressure injury.Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

When the patient complains that he feels he is getting worse because of the increased swelling at his wound site on his leg, the nurse's most helpful response would be that swelling indicates that:

A nurse is collecting data on a client who has impaired mobility.The nurse should monitor the client for a pressure injury due to which of the following factors?

A patient has a pooling of blood under unbroken skin of the hip after a fall.The nurse should document that this patient has a(n):

When preparing to change a sterile dressing over an incision, it is most important to remember to:

A nurse is caring for a group of clients.Which of the following clients should the nurse identify is at the highest risk for developing a pressure injury?

A nurse is preparing to assist with irrigating a wound for a client.Which of the following actions should the nurse plan to take?

After closing the curtain around the client's bed, you lift his gown to expose the horizontal abdominal wound and assist the client into a comfortable position for wound irrigation.Which of the following positions is appropriate for the irrigation of his wound?