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 ["2"]
Explanation
To answer the question, the nurse should first calculate the dose of ondansetron in mL. The formula is:
Dose (mL) = Ordered dose (mg) / Available dose (mg/mL)
Plugging in the values, we get:
Dose (mL) = 4 mg / 2 mg/mL
Dose (mL) = 2 mL
Correct Answer is D
Explanation
This statement is directive and may not encourage open discussion.
B: This is prescriptive and may not be well-received in a group therapy setting.
C: Making definitive statements about the effectiveness of the therapy group may not be appropriate.
D: This statement encourages open communication and exploration of the client's concerns, fostering a therapeutic environment in group therapy.
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