A nurse performing a right eye irrigation will position the patient:

Supine with the head tilted toward the right eye.

Upright with the head tilted toward the left eye.

Upright with the head hyperextended.

Supine with the head hyperextended.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

The supine position with the head tilted toward the right eye allows the solution to flow away from the nose and mouth, preventing aspiration or discomfort.

Choice B rationale:

An upright position with the head tilted toward the left eye would cause the solution to flow into the nose and mouth, which could lead to aspiration or discomfort.

Choice C rationale:

An upright position with the head hyperextended would not allow for proper drainage of the solution, potentially causing discomfort or complications.

Choice D rationale:

A supine position with the head hyperextended would not allow for proper drainage of the solution, potentially causing discomfort or complications.

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Correct Answer is D

Explanation

Choice A rationale:

Sharp debridement involves the use of a sharp instrument or heat to remove dead tissue, which is not achieved with a hydrocolloid dressing.

Choice B rationale:

Chemical debridement involves the use of chemicals to remove dead tissue, which is not the function of a hydrocolloid dressing.

Choice C rationale:

Enzymatic debridement involves the use of enzymes to soften and remove dead tissue, which is not the function of a hydrocolloid dressing.

Choice D rationale:

Autolytic debridement uses the body’s own enzymes and moisture to soften and remove dead tissue. A hydrocolloid dressing helps maintain a moist wound environment, promoting autolytic debridement.

A. tertiary intention. B. remodeling phase. C. primary intention. D. secondary intention.

Correct Answer is A

Explanation

Choice A rationale:

Tertiary intention, also known as delayed primary closure or secondary suture, is a type of wound healing where the wound is initially left open and closed after several days.

Choice B rationale:

The remodeling phase is not a type of wound healing, but a stage of wound healing where the wound fully closes and the new tissue slowly gains strength and flexibility.

Choice C rationale:

Primary intention is a type of wound healing where the wound edges are approximated (brought together) and the wound heals by the process of epithelialization.

Choice D rationale:

Secondary intention is a type of wound healing where the wound is left open and heals by granulation, contraction, and epithelialization.

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A nurse performing a right eye irrigation will position the patient:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which type of debridement is a hydrocolloid dressing used for?

Correct Answer is D

Explanation

What type of wound heals by delaying the suturing until the infection is resolved?

Correct Answer is A

Explanation

After closing the curtain around the client's bed, you lift his gown to expose the horizontal abdominal wound and assist the client into a comfortable position for wound irrigation.Which of the following positions is appropriate for the irrigation of his wound?

A patient is incontinent the first day after his surgery.This is a risk factor for the development of skin breakdown and infection because of the added moisture and because:

A nurse is caring for a client who has heavy drainage from a moist red wound that is bleeding.Which of the following types of dressings should the nurse select to help promote hemostasis?

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.

The nurse places Dakin solution in a wound to accomplish chemical:

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The nurse is alert to the indication of possible dehiscence of an abdominal surgical wound, which would be evidenced 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.)