A nurse is caring for a client who has multiple sclerosis and a chronic nonhealing wound. The nurse should recognize that which of the following types of medications is known to delay wound healing?
Anticholinergics
Corticosteroids
Beta-blockers
Tricyclic antidepressants
The Correct Answer is B
Choice A rationale
Anticholinergics are not typically associated with delayed wound healing. These medications affect the parasympathetic nervous system and are used to treat a variety of conditions, but they do not have a direct impact on the wound healing process.
Choice B rationale
Corticosteroids can delay wound healing. They are known to have anti-inflammatory properties, which can suppress the immune response necessary for wound healing. They also reduce the production of collagen and other proteins essential for tissue repair.
Choice C rationale
Beta-blockers are primarily used to manage cardiovascular conditions and are not known to have a significant impact on wound healing. They work by blocking the effects of adrenaline on the heart and blood vessels.
Choice D rationale
Tricyclic antidepressants are used to treat depression and certain types of pain. While they can have various side effects, they are not commonly associated with delayed wound healing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Sanguineous drainage is indicative of active bleeding and is typically bright red due to the presence of red blood cells. This type of drainage is not yellow-red and is not consistent with the description provided.
Choice B rationale
Serous drainage is clear and watery, and it is the fluid that is seen in blisters. It does not have a yellow-red color, so it does not match the description of the drainage observed.
Choice C rationale
Serosanguineous drainage is a mixture of serous and sanguineous drainage. It is typically light red or pink in color, which corresponds with the moist yellow-red stain described, indicating the presence of both plasma and red blood cells.
Choice D rationale
Purulent drainage is thick and opaque, usually yellow, green, or brown, and is associated with infection. The description of a yellow-red stain does not suggest that the drainage is purulent.
Correct Answer is D
Explanation
Choice A rationale
An abrasion occurs when the skin is scraped off, usually due to a surface rubbing or scraping against the skin. It does not involve pooling of blood under the skin but rather an injury to the top layer of the skin.
Choice B rationale
An avulsion is a severe type of wound that occurs when a portion of the skin and sometimes the tissue beneath is partially or completely torn away. It is not characterized by pooling of blood under unbroken skin.
Choice C rationale
A laceration refers to a deep cut or tear in the skin or flesh. Because lacerations imply that the skin is broken and torn, it does not describe the condition where blood pools under unbroken skin.
Choice D rationale
A hematoma is a localized collection of blood outside the blood vessels, usually in liquid form within the tissue. This is the correct term for a pooling of blood under unbroken skin, as described in the scenario following the patient’s fall. Hematomas can be caused by injury, such as a fall, that causes blood vessels to break and bleed into the surrounding tissues.
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