A nurse is assessing a client's incision and observes the drainage to be blood-tinged. The nurse should document this finding as which of the following?

Purulent

Serous

Sanguineous

Hyperemia

Answer and Explanation

The Correct Answer is C

A) Purulent drainage is indicative of pus, which is associated with infection and is typically thick and yellow, green, or brown.
B) Serous drainage is clear, thin, and watery, and is generally considered normal in the early stages of healing.
C) Sanguineous drainage, which is the correct answer, refers to drainage that contains or is mixed with blood, making it appear blood-tinged, and is expected in a fresh incision or one that is healing by secondary intention.
D) Hyperemia is not a type of drainage but a term that describes increased blood flow to an area of the body, resulting in redness. Therefore, the nurse should document the finding as sanguineous, which accurately describes blood-tinged drainage.

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Correct Answer is C

Explanation

A. Choosing a vein that is soft on palpation may indicate it's not suitable for IV insertion. A vein with a slight bounce or resilience is preferable.
B. Selecting a vein in the client's dominant arm is not a primary consideration. Both arms are

usually suitable, and the choice depends on factors such as accessibility and patient preference.

C. Selecting a site distal to previous venipuncture attempts reduces the risk of complications such as infiltration or infection and allows for optimal vein preservation.
D. Choosing the most proximal vein in the extremity is not typically recommended for peripheral IV insertion. Veins more distal to the body are often preferred for initial attempts, with
consideration for vein integrity and accessibility.

A. providing distraction from the pain. B. eliciting a relaxation response. C. modulating the transmission of the pain impulse. D. promoting increased circulation to the painful area.

Correct Answer is C

Explanation

A. TENS does not primarily work by providing distraction from pain.

B. While relaxation may be a secondary effect, the primary mechanism of TENS is not to elicit a relaxation response.
C. TENS works by modulating the transmission of the pain impulse, disrupting pain signals from reaching the brain.
D. TENS does not primarily work by promoting increased circulation to the painful area.

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A nurse is assessing a client's incision and observes the drainage to be blood-tinged. The nurse should document this finding as which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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