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A nurse is selecting dressings for a client who has a full-thickness pressure injury and is experiencing considerable pain during dressing changes, despite administration of the prescribed analgesic prior to wound care.
Which of the following types of dressings should the nurse select to help minimize the pain of dressing changes?

Abdominal pads.

Hydrogel.

Wet-to-dry.

Dry gauze.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Abdominal pads are not designed to minimize pain during dressing changes.

Choice B rationale:

Hydrogel dressings are known to minimize pain during dressing changes.

Choice C rationale:

Wet-to-dry dressings can cause discomfort during dressing changes.

Choice D rationale:

Dry gauze can stick to the wound bed and cause pain during dressing changes.

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Correct Answer is C

Explanation

Choice A rationale:

Hydrocolloids are not a form of mechanical debridement. They are dressings that promote autolytic debridement by maintaining a moist wound environment.

Choice B rationale:

Transparent dressings are not a form of mechanical debridement. They are used to protect the wound and allow for visual inspection.

Choice C rationale:

Pulsating lavage is a form of mechanical debridement. It involves using a pressurized, pulsed solution to remove necrotic tissue from the wound bed.

Choice D rationale:

Topical enzyme solutions are not a form of mechanical debridement. They are a form of chemical debridement that breaks down necrotic tissue.

A. moist. B. have a wet-to-dry dressing applied. C. occluded. D. debrided.

Correct Answer is A

Explanation

Choice A rationale:

Superficial wounds heal faster when kept moist.

Choice B rationale:

Wet-to-dry dressings are not typically used for superficial wounds as they can cause trauma to the wound bed during removal.

Choice C rationale:

Occlusion can help maintain a moist environment, but it’s not the only factor in wound healing.

Choice D rationale:

Debridement is the removal of dead or infected tissue from a wound, which can promote healing, but it’s not the only factor.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a stage 4 sacral pressure injury for which the provider has prescribed mechanical debridement.Which of the following is a form of mechanical debridement that the nurse should expect the client to receive?

Correct Answer is C

Explanation

Superficial wounds heal faster when kept:

Correct Answer is A

Explanation

The patient is undergoing NPWT treatment for wound healing.Which would be your first priority in caring for this patient?

When the patient complains that he feels he is getting worse because of the increased swelling at his wound site on his leg, the nurse's most helpful response would be that swelling indicates that:

The patient has an area over the sacrum that is reddened around the edges with a blackened area in the center.You would document this wound as:

A nurse is collecting data on a client who has a stage 1 pressure injury.Which of the following findings should the nurse expect?

When changing the dressing on the patient's right arm, you see that the dressing has a moist yellow-red stain on it. You would document this as drainage.

A nurse is assessing a surgical patient for internal hemorrhage, which would be indicated by:

The nurse reminds the 85-year-old patient that his healing will be slower because of age-related changes such as: (Select all that apply.)

The nurse is taking care of a postsurgical patient and notes the incision is clean and dry, with sutures intact.The nurse further assesses that the wound is healing by: