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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Acetaminophen is often the initial choice for managing osteoarthritis pain in older adults due to its lower risk of gastrointestinal and cardiovascular side effects.
B. Celecoxib and ibuprofen are NSAIDs that may be considered but are associated with a higher risk of side effects, especially in older adults.
C. Hyaluronic acid injections are typically considered if oral medications are not effective, and the patient has persistent symptoms.
D. Ibuprofen is an NSAID and is associated with increased risk of gastrointestinal bleeding and renal impairment hence is not considered as a first line management of osteoarthritis.
Correct Answer is C
Explanation
A. Shock typically results in tachycardia as the body compensates for decreased perfusion.
B. In shock, there is often decreased urine output due to decreased perfusion to the kidneys.
C. A hallmark sign of shock is low blood pressure as a result of inadequate tissue perfusion.
D. Bowel sounds may be diminished rather than hyperactive in cases of shock.
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