On admission to the hospital, the nurse notes that the client has a sacral wound that is "yellow" in color. What wound treatment would the nurse expect the health care provider to order?

Promotion of oxygenation by enhancing air circulation around wound

Removal of nonviable tissue followed by a moist wound dressing

Use of barrier cream and a foam dressing

No treatment is necessary

Answer and Explanation

The Correct Answer is B

Choice A rationale: Promotion of oxygenation by enhancing air circulation around the wound is not the primary treatment for a "yellow" wound.

Choice B rationale: Removal of nonviable tissue followed by a moist wound dressing is the expected treatment for a wound with yellow color, indicating the presence of slough (nonviable tissue).

Choice C rationale: Use of barrier cream and a foam dressing may be indicated for other types of wounds but may not address the specific issue of nonviable tissue in a "yellow" wound.

Choice D rationale: No treatment is necessary is not appropriate for a wound with evidence of nonviable tissue.

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Correct Answer is D

Explanation

Choice A rationale: The gluteal maximus is not a recommended site for intramuscular injections in infants due to the risk of injury to the sciatic nerve.

Choice B rationale: The deltoid muscle is a suitable site for older children and adults but may not be well-developed in infants.

Choice C rationale: The ventral gluteal site is not typically recommended for infants due to the potential risk of injury to the sciatic nerve.

Choice D rationale: The vastus lateralis muscle is the preferred injection site for intramuscular injections in infants.

A. Maintaining continuous oxygen therapy B. Maintaining a consistent air temperature in the client's room C. Keeping the client in a supine position as much a possible D. Assisting the client to maintain an adequate fluid intake

Correct Answer is D

Explanation

Choice A rationale: Maintaining continuous oxygen therapy does not directly address the thinning of respiratory secretions.

Choice B rationale: Maintaining a consistent air temperature in the client's room is not directly related to thinning respiratory secretions.

Choice C rationale: Keeping the client in a supine position as much as possible is not the most helpful action for thinning respiratory secretions.

Choice D rationale: Assisting the client to maintain an adequate fluid intake is the most helpful action in thinning respiratory secretions, promoting hydration and mobilization of secretions.

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On admission to the hospital, the nurse notes that the client has a sacral wound that is "yellow" in color. What wound treatment would the nurse expect the health care provider to order?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is administering an intramuscular injection to a 9 month old infant. What is the preferred injection site?

Correct Answer is D

Explanation

Which nursing action is most helpful in thinning a client's thick respiratory secretions?

Correct Answer is D

Explanation

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