A nurse is completing discharge teaching with a client. Of the following barriers to learning the nurse identifies with this client, which should the nurse interpret as a need to postpone the session?

Motor impairment

Pain

The client's culture

Hearing loss

Answer and Explanation

The Correct Answer is B

A. An abrasion is a superficial wound caused by scraping or rubbing and does not involve the full thickness of the skin.

B. A full-thickness wound with jagged edges and visible muscle tissue is a laceration. Lacerations are typically caused by trauma and result in irregular edges and deeper tissue damage.

C. A puncture wound is caused by a sharp object penetrating the skin, often with a small opening.

D. A contusion is a bruise caused by blunt force trauma that results in damage to underlying tissues but does not involve a break in the skin.

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Correct Answer is B

Explanation

A. Contact precautions are not necessary for hepatitis C unless there is visible contamination of the environment with blood.

B. Hepatitis C is spread primarily through blood-to-blood contact, so the nurse should implement standard precautions, which include wearing gloves and other protective barriers as necessary.

C. Droplet precautions are used for infections spread by respiratory droplets, not for hepatitis C.

D. Airborne precautions are used for diseases that spread through airborne particles, such as tuberculosis.

A. Wet-to-dry gauze dressing B. Transparent dressing C. Hydrogel dressing D. Alginate dressing

Correct Answer is B

Explanation

A. Wet-to-dry gauze dressings are typically used for more severe wounds, particularly for debridement, and are not appropriate for a stage I pressure ulcer.

B. A transparent dressing is appropriate for a stage I pressure ulcer because it provides a barrier to moisture while allowing for continuous observation of the area without disturbing the skin.

C. Hydrogel dressings are typically used for more complex wounds to hydrate and provide a moist healing environment but are not necessary for a stage I ulcer.

D. Alginate dressings are used for heavily exudating wounds and would not be appropriate for a stage I pressure ulcer.

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A nurse is completing discharge teaching with a client. Of the following barriers to learning the nurse identifies with this client, which should the nurse interpret as a need to postpone the session?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who has hepatitis C. Which of the following precautions should the nurse implement?

Correct Answer is B

Explanation

A nurse is caring for a client who has a stage I pressure ulcer. Which of the following dressings should the nurse plan to apply?

Correct Answer is B

Explanation

A nurse is providing nail care for a client. Which of the following actions should the nurse take?

Preventive measures such as immunizations and water fluoridation are examples of which type of prevention?

A nurse working in an emergency room is assessing a client who has a leg wound. The nurse notes a full thickness wound with jagged edges and muscle tissue visible. The nurse should documents this as which of the following types of wounds?

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A nurse is admitting a client who has tuberculosis and a productive cough. Which of the following types of isolation precautions should the nurse initiate for the client?

A nurse is admitting a client who requires droplet precautions due to influenza. Which of the following actions should the nurse take?

Which division of the United States Department of Health and Human Services is primarily responsible for the administrative provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA)?

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