A nurse is changing the dressing on a client’s wound. The nurse should recognize that which of the following findings is an indication of a wound infection?

Edema

Crusting over granulated tissue

Petechiae

Urticaria

Answer and Explanation

The Correct Answer is A

A.   Edema, which is swelling caused by fluid accumulation in the tissues. Edema is a common sign of inflammation and infection in wounds.
B.   Crusting over granulated tissue may indicate normal wound healing and is not necessarily a sign of infection.
C.   Petechiae are small red or purple spots on the skin caused by bleeding under the skin. They are usually associated with blood disorders or trauma, not infection.
D.   Urticaria (hives) is typically associated with allergic reactions and is not a typical sign of wound infection.

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Correct Answer is A

Explanation

A. Lactated Ringer’s is the preferred fluid for fluid resuscitation in the first 24 hours after a burn injury as it helps replace lost fluids and electrolytes.
B. Dextrose 5% in water is not the primary fluid for burn resuscitation.
C. 0.9% sodium chloride may be used, but Lactated Ringer’s is often preferred.
D. Dextrose 5% in 0.9% sodium chloride is not the primary fluid for burn resuscitation.

A. Otorhinolaryngologist B. Physical therapist C. Occupational therapist D. Dentist

Correct Answer is D

Explanation

A. Deals with ear, nose, and throat issues but may not be the primary provider for temporomandibular joint (TMJ) disorders.
B. Can be involved in the management of TMJ disorders, but the primary provider for initial assessment and diagnosis would likely be a dentist.
C. While they may be involved in the rehabilitation process, the dentist is typically the primary provider for TMJ issues.
D. Specializes in oral health and would be the appropriate provider to assess and manage TMJ disorders.

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A nurse is changing the dressing on a client’s wound. The nurse should recognize that which of the following findings is an indication of a wound infection?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is monitoring the fluid replacement of a client who has sustained burns. Which of the following fluids should the nurse use in the first 24 hr following a client’s burn injury?

Correct Answer is A

Explanation

While examining a client's temporomandibular joint, a nurse identifies pain, crepitus, and a popping sound. Because of these findings, to which of the following providers should the nurse request a referral for the client?

Correct Answer is D

Explanation

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