A nurse is performing wound care for an older adult client who has a stage I pressure ulcer. Which of the following types of dressings should the nurse apply to the wound?
Dry, sterile
Transparent
Wet-to-dry
Antimicrobial
The Correct Answer is B
A. Dry, sterile:
A dry dressing does not protect or maintain moisture for a Stage I pressure injury. It can allow further skin breakdown from friction.
B. Transparent:
A transparent film dressing protects from shear, friction, and contamination while allowing moisture retention and wound observation. This is ideal for Stage I pressure injuries.
C. Wet-to-dry:
This is typically used for mechanical debridement, appropriate for wounds with necrotic tissue, not for Stage I, where skin is intact.
D. Antimicrobial:
Antimicrobial dressings are used when infection is present or suspected, which is not typical in an early-stage (non-blistered) pressure ulcer.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Instructing the patient to fast for at least 12 hours before the procedure: Fasting is not required for an ECG. It is a non-invasive test that doesn’t involve food interactions.
B. Ensuring the skin is clean and dry where electrodes will be placed: This ensures good electrode contact and accurate readings. Oils, lotions, or moisture can interfere with signal transmission.
C. Using a higher room temperature to keep the patient warm: While comfort is important, this is not a primary preparation step. ECG accuracy is not dependent on room temperature.
D. Applying electrodes directly over bony prominences: Electrodes should be placed on flat, muscular areas to ensure proper contact, not over bones.
Correct Answer is B
Explanation
A. "Providers usually recommend relaxation exercises for clients who are as upset as you are.": Too impersonal and not immediately helpful.
B. "Walk with me to an area where we can talk about how you're feeling.": Therapeutic, supportive, and helps de-escalate anxiety by providing a safe environment.
C. "An antianxiety pill works best for situations like this. Let me get you one.": Premature medication use; verbal de-escalation is preferred first.
D. "Most clients with anxiety issues benefit from lying down.": Not appropriate; may not meet the client’s needs and dismisses the emotion.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.