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 B
Explanation
A. Saw palmetto is often used for prostate health, not for preventing UTIs.
B. Cranberry juice has been associated with a decreased risk of UTIs, particularly in women.
C. Black cohosh is primarily used for menopausal symptoms, not for preventing UTIs.
D. Echinacea is commonly used for immune system support but is not specifically known for preventing UTIs.
Correct Answer is C
Explanation
A. Acute pain is more likely to increase respiratory rate, not decrease it.
B. Acute pain does not typically cause hypoglycemia.
C. Acute pain is often associated with an increase in blood pressure (hypertension).
D. Acute pain tends to increase heart rate (tachycardia), not decrease it.
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