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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["20"]
Explanation
To calculate the amount of carbamazepine oral suspension needed for each dose, divide the total daily dose by the concentration of the suspension and then by the number of doses per day.
- 800 mg / 20 mg/mL / 2 = 20 mL
The nurse should administer 20 mL of carbamazepine oral suspension with each dose.
Correct Answer is C
Explanation
A. Encouraging feeding anything the child will eat might lead to poor nutrition. It's important to ensure a balanced diet.
B. Acknowledging the concern is valid, but the nurse should provide guidance rather than just expressing concern.
C. This response acknowledges the concern but reassures the parent that, if the child appears healthy, no immediate intervention is necessary, promoting a balanced approach.
D. Increasing calories and water without a specific reason or assessment may not address the underlying issue and is not the initial recommended intervention.
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