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. A small amount of red drainage is expected immediately after surgery.
B. A shiny, moist stoma indicates healthy tissue and is a normal finding.
C. A rosebud-like appearance of the stoma is expected for a newly created colostomy.
D. A purplish-colored stoma is a sign of compromised circulation and possible necrosis, which requires immediate medical attention.
Correct Answer is B
Explanation
A. Ripe bananas can help alleviate diarrhea due to their fiber content and are often recommended to regulate bowel movements.
B. Caffeinated beverages, such as coffee and tea, are known to increase intestinal motility and can lead to diarrhea.
C. White rice is a low-fiber, easily digestible food that typically helps manage diarrhea.
D. Low-fiber cereals are not likely to cause diarrhea, as fiber tends to bulk stool rather than loosen it.
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