A nurse is collecting data from four clients who have wounds. The nurse should recognize that which of the following clients has a manifestation of a wound infection?

A client who has swelling and tenderness around the wound

A client who has brown crusting over the wound

A client who has serosanguineous drainage from the wound

A client who has urticaria and itching around the wound

Answer and Explanation

The Correct Answer is A

A.   Swelling and tenderness around the wound are common signs of infection, indicating an inflammatory response to the presence of bacteria.
B.   Brown crusting over the wound may suggest the presence of a scab or dried exudate, which is a normal part of the healing process and not necessarily indicative of infection.
C.   Serosanguineous drainage is a type of wound drainage that is typically not a sign of infection but rather a mix of clear and blood-tinged fluid.
D.   Urticaria and itching around the wound suggest an allergic reaction rather than a wound infection.

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Correct Answer is A

Explanation

A. Ensuring the prosthesis socket is dry helps prevent skin irritation, discomfort, and the potential for infection.
B. Applying moisturizing lotion or oil can make the skin too slippery, affecting the fit and function of the prosthesis.
C. The prosthesis should not be in direct contact with the residual limb; a liner or sock is typically worn.
D. Skin irritation should be minimized, and any persistent issues should be addressed with the prosthetist. Expecting irritation as a norm is not appropriate.

A. Feedback B. Environment C. Message D. Channel

Correct Answer is A

Explanation

A. Asking the client to describe one physical effect after teaching is seeking feedback to ensure understanding.
B. The environment refers to the physical surroundings and context of communication, not the client's response.
C. The message is the information conveyed during teaching.
D. The channel is the method or medium through which communication occurs, such as verbal or written communication.

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A nurse is collecting data from four clients who have wounds. The nurse should recognize that which of the following clients has a manifestation of a wound infection?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about prosthesis care for a client following a below-the- knee amputation. Which of the following statements should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a client about the physical effects of chemotherapy. Following the teaching, the nurse asks the client to describe one physical effect. The nurse is focusing on which element of the communication process?

Correct Answer is A

Explanation

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