A nurse is planning care for a client who has an infected wound with significant exudate.

The nurse should plan to use which of the following dressings to cover the wound?

Polymeric membrane dressing

Hydrofiber dressing

Hydrogel dressing

Hydrocolloid dressing

Answer and Explanation

The Correct Answer is B

Choice A rationale: this is a type of non-adherent dressing that can be used for wounds with minimal exudates hence this is not suitable for wounds with significant exudate since it causes maceration and leakage.
Choice B rationale: this is an absorbent dressing that can be used in wounds with moderate-significant exudate since it moistens the wound environment while facilitating autolytic debridement by forming a gel in contact with the exudate.
Choice C rationale: this is a type of hydrating dressing containing water or glycerin-based gel that is suitable for use in wounds with minimal exudate.
Choice D rationale: this is a type of occlusive dressing suitable for wounds with minimal-moderate exudates. It is unsuitable for wounds with significant exudate since it can result in maceration and leakage.

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Correct Answer is C

Explanation

- A: Swabbing the wound bed is an essential step in obtaining a wound culture, but it is not the first action that should be taken. This step is performed after the wound has been cleansed to ensure that the sample is not contaminated with debris or bacteria from the surrounding skin.
- B: Cleansing the area around the wound with sterile saline is the correct first step. This action helps to remove any contaminants or debris from the wound surface, ensuring that the culture obtained is from the wound itself and not from the surrounding skin, which could lead to inaccurate results.
- C: Donning sterile gloves is a crucial step to maintain sterility during the procedure. However, it is not the first action because the nurse must first cleanse the wound area to prevent contamination of the culture specimen.
- D: Placing the collection tube in a specimen bag is done after obtaining the wound culture to transport the specimen to the laboratory. This is one of the final steps in the process, not the first.

Correct Answer is ["0.8"]

Explanation

The amount to be administered = desired dose/ dose at hand X quantity of the solution

= 100/250 x 2

= 0.8 mL

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A nurse is planning care for a client who has an infected wound with significant exudate. The nurse should plan to use which of the following dressings to cover the wound?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is obtaining an aerobic wound culture for a client. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

A nurse is preparing to administer hydrocortisone 100 mg IM daily to a client. Available is hydrocortisone 250 mg/2 mL. How many ml should the nurse administer per dose? (Round the answer to the nearest tenth number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.8"]

Explanation

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A nurse is planning care for a client who has an infected wound with significant exudate.

The nurse should plan to use which of the following dressings to cover the wound?