A nurse is contributing to the plan of care for a client who has a superficial skin tear with no exudate. Which of the following dressings should the nurse recommend to cover the wound?

Hydrofiber dressing

Transparent-film dressing

Alginate dressing

Foam dressing

Answer and Explanation

The Correct Answer is B

A. Hydrofiber dressing:
Hydrofiber dressings are designed for moderate to heavy exudate, not dry or non-exudative wounds.

B. Transparent-film dressing:
Transparent-film dressings are ideal for superficial, non-draining wounds like skin tears. They protect the area while allowing for oxygen exchange and visualization of the wound.

C. Alginate dressing:
Alginate dressings are highly absorbent and used for moderate to heavy exudating wounds, not for dry superficial tears.

D. Foam dressing:
Foam dressings are best for wounds with exudate. They are thicker and may not adhere well to superficial skin tears without drainage.

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Correct Answer is C

Explanation

A. Full thickness skin loss with visible bone:
This describes a stage 4 pressure injury.

B. Full thickness skin loss with visible adipose tissue:
This describes a stage 3 pressure injury.

C. Partial-thickness skin loss with red tissue in wound bed:
Stage 2 pressure injuries involve partial-thickness skin loss, sometimes with a pink or red wound bed and may include blistering.

D. Intact skin with localized erythema:
This describes a stage 1 pressure injury.

A. Reposition the client every 3 hr. B. Provide the client with a diet high in protein. C. Apply cornstarch to keep the skin dry. D. Massage bony prominences to promote circulation.

Correct Answer is B

Explanation

A. Reposition the client every 3 hr:
At-risk clients should be repositioned at least every 2 hours, not every 3, to relieve pressure and promote circulation.

B. Provide the client with a diet high in protein:
Protein is essential for maintaining skin integrity and promoting tissue repair and healing.

C. Apply cornstarch to keep the skin dry:
Cornstarch can cause skin irritation and increase the risk of skin breakdown and infection in moist environments.

D. Massage bony prominences to promote circulation:
Massaging bony prominences can damage fragile tissues and increase the risk of pressure injuries.

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A nurse is contributing to the plan of care for a client who has a superficial skin tear with no exudate. Which of the following dressings should the nurse recommend to cover the wound?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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