A patient who has sustained a burn injury will undergo wound debridement. The nurse includes which explanation when explaining the purpose of burn wound debridement?
Prevention of infection and promote healing.
Promoting movement in the affected area.
To increase the effectiveness of the skin graft.
Promoting suppuration of the wound.
The Correct Answer is A
A. Prevention of infection and promote healing. Debridement helps remove dead tissue, which prevents infection and promotes healing.
B. Promoting movement in the affected area: While movement is important, debridement is primarily for removing necrotic tissue to prevent infection.
C. To increase the effectiveness of the skin graft: Debridement does help prepare the wound bed for grafting, but its main purpose is infection control and healing.
D. Promoting suppuration of the wound: Suppuration is not a goal of debridement; it is about cleaning the wound and preventing infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Delirium: Delirium is characterized by acute confusion, disorientation, and altered mental status often due to severe infection or high fever.
B. Psychotic break: While hallucinations are a symptom, a psychotic break is generally a chronic mental health condition rather than an acute response to infection.
C. Possible stroke: Stroke symptoms usually involve sudden onset of neurological deficits rather than fever and hallucinations.
D. Anxiety disorder: Anxiety disorders do not typically cause such high fevers or acute hallucinations.
Correct Answer is D
Explanation
A. Overflow incontinence. Overflow incontinence occurs when the bladder does not empty properly, leading to frequent or constant dribbling. It is not typically triggered by physical activities like sneezing.
B. Functional incontinence. Functional incontinence is due to physical or cognitive impairments that prevent a person from reaching the bathroom in time, rather than a physiological issue with the bladder or urethra.
C. Urge incontinence. Urge incontinence involves a sudden, intense urge to urinate followed by involuntary loss of urine. It is not typically triggered by physical activities like sneezing.
D. Stress incontinence. Stress incontinence occurs when there is involuntary leakage of urine during physical activities that increase abdominal pressure, such as sneezing, coughing, or exercising.
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