A nurse performing a right eye irrigation will position the patient in which of the following ways?

Upright with the head tilted toward the left eye.

Supine with the head hyperextended.

Upright with the head hyperextended.

supine with the head tilted toward the right eye.

Answer and Explanation

The Correct Answer is D

Choice A:
This position would not be ideal for right eye irrigation. Tilting the head towards the left eye could cause the irrigation solution to flow into the left eye, potentially causing discomfort or harm⁵.

Choice B:
While the supine position is correct, hyperextending the head is not necessary and could cause discomfort to the patient.

Choice C:
This position could cause discomfort to the patient and does not facilitate the flow of the irrigation solution away from the nose and mouth.

Choice D:
This is the correct position for right eye irrigation. 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.

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Correct Answer is B

Explanation

Choice A rationale
Applying hydrocolloids to the wound bed is not a form of mechanical debridement. Hydrocolloids are dressings that provide a moist environment and promote autolytic debridement but do not mechanically remove necrotic tissue.

Choice B rationale
Pulsating lavage is a form of mechanical debridement. It involves the use of a pressurized, pulsed solution to cleanse and remove debris and necrotic tissue from the wound bed, which is essential for the healing process of a stage 4 pressure injury.

Choice C rationale
Using a topical enzyme solution in the wound bed is a chemical, not mechanical, method of debridement. Enzymatic debridement uses proteolytic enzymes to break down necrotic tissue without affecting viable tissue.

Choice D rationale
Placing a transparent dressing over the pressure injury is not a form of debridement. Transparent dressings allow for oxygen exchange and protect the wound from infection, but they do not debride the wound.

A. Adequate fibroblast function B. Intrinsic factor C. Synthesis of collagen D. Hemoglobin E. Adequate phagocytosis

Correct Answer is ["A","C","E"]

Explanation

Choice A rationale
Adequate fibroblast function is crucial for wound healing as fibroblasts play a key role in the formation of new connective tissue and collagen, which are essential for the repair process.

Choice B rationale
Intrinsic factor is not directly related to wound healing; it is a glycoprotein produced by the stomach lining that is necessary for the absorption of vitamin B12.

Choice C rationale
The synthesis of collagen is vital for wound healing because collagen is the main structural protein in the skin and other connective tissues, providing strength and support to the wound site.

Choice D rationale
While hemoglobin is essential for transporting oxygen in the blood, it is not a factor in the local wound healing process.

Choice E rationale
Adequate phagocytosis is important in wound healing as it involves the ingestion and removal of pathogens and debris by phagocytes, which is a critical step in preventing infection and allowing the healing process to proceed.

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A nurse performing a right eye irrigation will position the patient in which of the following ways?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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