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 C

Explanation

Choice A rationale: The deltoid muscle may not accommodate larger volumes as comfortably as other sites.

Choice B rationale: The dorsogluteal site is not recommended due to the risk of injury to the sciatic nerve.

Choice C rationale: The ventrogluteal site is the preferred site for IM injections in adults, providing a safe and well-vascularized muscle.

Choice D rationale: The vastus lateralis is a suitable site for infants and young children but may not be the most comfortable for adults receiving a 2 mL injection.

A. loperamide 2 mg. B. diltiazem SR 180 mg C. acetaminophen 325 mg. D. methyldopa 125 mg

Correct Answer is B

Explanation

Choice A rationale: Loperamide 2 mg is generally available in liquid form, so crushing is not typically necessary.

Choice B rationale: Diltiazem SR 180 mg (Sustained Release) should not be crushed, as it is formulated for extended release over time.

Choice C rationale: Acetaminophen 325 mg is usually available in liquid form, so crushing may not be necessary.

Choice D rationale: Methyldopa 125 mg is generally available in liquid form, so crushing may not be necessary.

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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?

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