A nurse is assessing a patient’s wound dressing and observes a watery red drainage. How should the nurse document this type of drainage?
Purulent.
Sanguineous.
Serosanguineous.
Serous.
The Correct Answer is C
Choice A rationale
Purulent drainage is thick and opaque. It can have a yellow, tan, green, or brown color and is a sign of infection.
Choice B rationale
Sanguineous drainage is bright red and indicates active bleeding3.
Choice C rationale
Serosanguineous drainage is typically pink-red and thin. It is made up of blood and serous fluid and is typically seen in a normal, non-infected wound3.
Choice D rationale
Serous drainage is clear and thin, like the fluid from a blister3.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["5.6"]
Explanation
Step 1: Convert the toddler’s weight from pounds to kilograms. 1 kg is approximately 2.2 lb. So, 33 lb ÷ 2.2 = 15 kg.
Step 2: Calculate the total daily dose of amoxicillin. The prescribed dose is 30 mg/kg/day. So, 30 mg/kg/day × 15 kg = 450 mg/day.
Step 3: Since the dose is divided into 2 equal doses every 12 hours, each dose will be half of the total daily dose. So, 450 mg/day ÷ 2 = 225 mg/dose.
Step 4: Calculate the volume of the suspension to administer per dose. The available suspension is 200 mg/5 mL. So, (225 mg/dose ÷ 200 mg) × 5 mL = 5.625 mL/dose. Therefore, the nurse should administer approximately 5.6 mL of the amoxicillin suspension per dose.
Correct Answer is ["35"]
Explanation
Step 1 is: To find out how many mL/hr the nurse should set the infusion pump to deliver, we need to divide the total volume of enteral nutrition (840 mL) by the total time (24 hours).
So, the calculation is: 840 mL ÷ 24 hours = 35 mL/hr Therefore, the nurse should set the infusion pump to deliver 35 mL/hr.
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