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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Free Nursing Study Resources

Correct Answer is ["0.6"]

Explanation

To calculate the dosage of diphenhydramine, the nurse needs to use the formula D/H x Q

= X, where D is the desired dose, H is the on-hand dose, Q is the quantity of the on-hand dose, and X is the amount to administer. In this case, D is 30 mg, H is 50 mg/mL, and Q is 1 mL. Plugging these values into the formula, we get:

30/50 x 1 = 0.6

A. DIC is a genetic disorder involving vitamin K deficiency. B. DIC is characterized by an elevated platelet count. C. DIC is controllable with lifelong heparin usage. D. DIC is caused by abnormal coagulation involving fibrinogen.

Correct Answer is D

Explanation

A. DIC is not a genetic disorder but is often secondary to other conditions.
B. In DIC, platelet count decreases rather than increases.
C. While heparin may be used in the treatment of DIC, it is not a lifelong therapy, and its use depends on the specific clinical situation.
D. DIC involves abnormal coagulation, with consumption of clotting factors and fibrinogen, leading to both bleeding and thrombosis.

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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

Correct Answer is ["0.6"]

Explanation

A nurse is assisting with the care of a client who has septic shock and is at risk for disseminated intravascular coagulation (DIC). Which of the following nursing statements indicates an understanding of the condition?

Correct Answer is D

Explanation

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