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 D
Explanation
Choice A rationale
Glaucoma is a condition that damages the eye’s optic nerve and can result in vision loss and blindness. However, it doesn’t cause a cloudy, opaque area over the lens of the eye.
Choice B rationale
Diabetic retinopathy is a diabetes complication that affects eyes. It’s caused by damage to the blood vessels of the light-sensitive tissue at the back of the eye (retina). But it doesn’t cause a cloudy, opaque area over the lens of the eye.
Choice C rationale
Macular degeneration is a medical condition which may result in blurred or no vision in the center of the visual field. But it doesn’t cause a cloudy, opaque area over the lens of the eye.
Choice D rationale
A cataract is a clouding of the lens in the eye that affects vision. Cataracts are very common in older people. Symptoms of cataracts include cloudy or blurry vision.
Correct Answer is B
Explanation
Choice A rationale
A stoma may appear red and moist immediately after surgery, similar to the inside of the mouth. A purplish color could indicate a lack of blood supply to the stoma, which is a medical emergency.
Choice B rationale
A small amount of bleeding around the stoma is normal, especially when cleaning the area or changing the ostomy appliance. This is because the stoma contains blood vessels and has a rich blood supply.
Choice C rationale
Fecal output from a colostomy can be expected within 2 to 4 days after surgery. It is not typical to see output within 24 hours.
Choice D rationale
An increase in the intake of raw vegetables is not necessary after a colostomy. In fact, some people may find certain raw vegetables difficult to digest and they may cause gas or odor.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.