A nurse is planning care for a client who has a superficial wound with no exudate. The nurse should plan to use which of the following dressings to cover wound?

Film dressing

Foam dressing

Alginate dressing

Hydrofiber dressing

Answer and Explanation

The Correct Answer is A

Choice A rationale: A superficial wound with no exudate (fluid drainage) can benefit from a film dressing. Film dressings are transparent, adhesive, and provide a protective barrier while allowing visualization of the wound. They are suitable for wounds with minimal or no drainage.
Choice B rationale: Foam dressings are often used for wounds with moderate to heavy exudate. They provide absorption and insulation but may not be the best choice for a wound with no exudate.
Choice C rationale: Alginate dressings are absorbent and suitable for wounds with moderate to heavy exudate. They may not be necessary for a superficial wound with no drainage.
Choice D rationale: Hydrofiber dressings are absorbent and can handle moderate to heavy exudate. Like alginate dressings, they may not be the most appropriate choice for a wound with no exudate.

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Correct Answer is D

Explanation

Choice A rationale: This describes a full-thickness burn with eschar formation, not a deep partial-thickness burn.
Choice B rationale: This may indicate a deeper burn involving the subcutaneous tissue, but the absence of blisters makes it less characteristic of a deep partial-thickness burn.
Choice C rationale: This suggests a full-thickness burn with damage to nerve endings, not a deep partial-thickness burn.
Choice D rationale: A deep partial-thickness burn is characterized by a pink or mottled appearance with the presence of blisters. This type of burn involves damage to the epidermis and portions of the dermis, causing pain and sensitivity to touch.

A. Administer analgesics for pain B. Restrict visitors who have hot previously received a measles, mumps, and rubella vaccine. C. Place the client in protective isolation. D. Avoid the use of alcohol-based hand rubs.

Correct Answer is A

Explanation

Choice A rationale: Pain management is a crucial aspect of care for a client with herpes zoster (shingles). Administering analgesics can help alleviate pain and improve the client's overall comfort.
Choice B rationale: Herpes zoster is not spread through respiratory droplets, so restricting visitors based on their vaccination status is not necessary.
Choice C rationale: Protective isolation is not required for herpes zoster, as it is not highly contagious.
Choice D rationale: There is no need to avoid alcohol-based hand rubs in the care of a client with herpes zoster.

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A nurse is planning care for a client who has a superficial wound with no exudate. The nurse should plan to use which of the following dressings to cover wound?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is brought to the emergency room with burn injuries. Which of the following findings should the nurse identify a deep partial-thickness burn?

Correct Answer is D

Explanation

A nurse is planning care for an older adult client who has herpes zoster. Which of the following interventions should the nurse include in the plan?

Correct Answer is A

Explanation

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