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

The moisture creates an environment suitable for the growth of microorganisms in a wound.

Greater pressure is exerted by a wet bed.

Shearing is more likely from wet sheets.

The patient has to be repositioned for the bed to be changed.

Answer and Explanation

The Correct Answer is A

Choice A rationale
Moisture from incontinence can compromise skin integrity and create a favorable environment for bacterial growth, increasing the risk of infection and skin breakdown.

Choice B rationale
While a wet bed may be uncomfortable, it does not exert greater pressure that would lead to skin breakdown or infection.

Choice C rationale
Shearing can occur from moving a patient on any surface; however, wet sheets do not inherently increase the likelihood of shearing.

Choice D rationale
Repositioning the patient is necessary for comfort and to prevent pressure ulcers, but it is not a direct cause of skin breakdown or infection due to incontinence.

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

Explanation

Choice A rationale

Inspecting the plug and cord for cracks or fraying is essential to prevent electrical hazards and ensure the safety of both the patient and healthcare staff.

Choice B rationale

Securing the pad to the patient helps to maintain the correct position and prevent burns or other injuries from improper pad placement.

Choice C rationale

Instructing the patient not to sleep on the pad is important because prolonged, direct contact with the heat source can cause burns, especially if the patient is immobile or has sensory deficits.

Choice D rationale

Assisting the patient to lie on top of the pad is not recommended as it can lead to burns due to increased temperature exposure in one area.

Choice E rationale

Using a thermometer to check the temperature of the pad ensures that it is within a safe range for application to the patient's skin, preventing burns.

A. Using marijuana. B. Eating excessive fats. C. Smoking cigarettes. D. Drinking

Correct Answer is C

Explanation

Choice A:

While marijuana use can have various health effects, it is not typically associated with a reduction in functional hemoglobin.

Choice B:

A diet high in fats can lead to various health problems, such as heart disease and obesity, but it is not directly linked to a reduction in functional hemoglobin.

Choice C:

Smoking cigarettes can indeed lead to a reduction in functional hemoglobin. Smokers have higher blood hemoglobin concentrations than non-smokers. This is because smoking causes the body to increase red blood cell production to compensate for lower oxygen supply.

Choice D:

While excessive alcohol consumption can have numerous negative health effects, it is not typically associated with a reduction in functional hemoglobin.

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

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Naxlex Comprehensive Predictor Exams

What safety factors should be considered when using an Aquathermia pad unit for a patient? (Select all that apply)

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

Explanation

The nurse warns the patient that one of the patient’s habits has caused the reduction of functional hemoglobin, which limits the hemoglobin’s oxygen-carrying ability. To improve this situation, the nurse suggests that the patient quit:

Correct Answer is C

Explanation

The nurse is performing a dry sterile dressing change for an abdominal wound. In which direction should the nurse use a swab to clean?

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?

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When preparing to change a sterile dressing over an incision, it is most important to remember to:

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A nurse is planning care for a client who has multiple wounds. During the initial stage of wound healing, which of the following should the nurse include in the plan of care?

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