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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Fever is not a common side effect of allopurinol.
B. Allopurinol is usually taken with food to minimize gastrointestinal upset.
C. If a rash develops, the client should stop taking allopurinol and notify their healthcare provider rather than self-medicating with an antihistamine.
D. Drinking an adequate amount of water helps prevent kidney stones, a potential side effect of allopurinol.
Correct Answer is D
Explanation
A. Cryosurgery involves freezing the lesion and is typically used for benign lesions.
Malignant melanoma often requires more extensive treatment.
B. Radiation therapy may be used in certain cases, but surgical excision is often the primary treatment for malignant melanoma.
C. Chemotherapy is not the primary treatment for localized malignant melanoma but may be used for advanced cases or metastatic disease.
D. Surgical excision is the primary treatment for localized malignant melanoma, aiming to remove the tumor along with a margin of normal tissue.
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