A patient has a pooling of blood under unbroken skin of the hip after a fall.
The nurse should document that this patient has a(n):

abrasion.

avulsion.

hematoma.

laceration.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

An abrasion is a superficial injury to the skin caused by scraping or rubbing, which does not match the description of a pooling of blood under unbroken skin.

Choice B rationale:

An avulsion is a wound where a chunk of tissue is torn away, which does not match the description of a pooling of blood under unbroken skin.

Choice C rationale:

A hematoma is a pooling of blood outside of blood vessels, typically caused by trauma. It matches the description of a pooling of blood under unbroken skin.

Choice D rationale:

A laceration is a deep cut or tear in the skin, which does not match the description of a pooling of blood under unbroken skin.

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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.

A. Debridement. B. Primary intention. C. Healing. D. Phagocytosis.

Correct Answer is A

Explanation

Choice A rationale:

Dakin’s solution is used for chemical debridement, which involves the use of a chemical, such as Dakin’s solution, to break down and remove dead tissue.

Choice B rationale:

Primary intention is a term used to describe the healing of a clean wound without tissue loss. Dakin’s solution does not directly contribute to this process.

Choice C rationale:

While Dakin’s solution can aid in the healing process by preventing and treating infections, it does not directly cause healing.

Choice D rationale:

Phagocytosis is a process carried out by certain cells in the body to engulf and destroy pathogens or debris. Dakin’s solution does not perform this function.

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A patient has a pooling of blood under unbroken skin of the hip after a fall.The nurse should document that this patient has a(n):

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Superficial wounds heal faster when kept:

Correct Answer is A

Explanation

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

Correct Answer is A

Explanation

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A patient has a pooling of blood under unbroken skin of the hip after a fall.
The nurse should document that this patient has a(n):