A nurse is assessing a client's wound dressing, and observes a watery red drainage. The nurse should document this drainage as which of the following?
Sanguineous
Serous
Serosanguineous
Purulent
The Correct Answer is C
A. Sanguineous drainage consists mostly of blood and is bright red, indicating active bleeding.
B. Serous drainage is clear or slightly yellowish and watery, often seen in healing wounds.
C. Serosanguineous drainage is a mixture of blood and serous fluid, which is watery with a pink or reddish tinge, common in early wound healing.
D. Purulent drainage is thick and cloudy, indicating infection, usually accompanied by an unpleasant odor.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Increased thirst is more commonly associated with dehydration or conditions like diabetes, not urinary tract infections (UTIs).
B. Chest pain is unrelated to UTIs and is more concerning for cardiac issues.
C. Fever can occur with more severe or systemic infections (such as pyelonephritis), but it is not a primary or early symptom of a simple UTI.
D. Painful urination (dysuria) is a hallmark symptom of a urinary tract infection, commonly experienced due to irritation and inflammation of the urinary tract.
Correct Answer is D
Explanation
A. Telling the patient to close their eyes may not alleviate their anxiety and does not provide comfort or education.
B. Asking the family to leave could increase the patient's anxiety, especially if the family provides emotional support.
C. Turning on the television may distract the patient, but it doesn't address their anxiety.
D. Explaining the procedure helps reduce anxiety by informing the patient about what to expect, which promotes trust and understanding.
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