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 B

Explanation

Choice A rationale: White skin around the wound edges is not necessarily indicative of too much moisture in the wound bed.

Choice B rationale: White skin around the wound edges may suggest nonviable tissue, and surgical debridement may be needed.

Choice C rationale: Turning and positioning every two hours is important for preventing pressure injuries but is not directly related to the observed skin color.

Choice D rationale: White skin around the wound edges is not a normal finding and indicates a potential issue with tissue viability.

A. spread the skin taut while inserting the needle. B. apply heat to the area before the injection. C. hold the barrel of the syringe still while injecting the medication. D. test for blood return before injecting the medication.

Correct Answer is A

Explanation

Choice A rationale: Spreading the skin taut while inserting the needle can minimize discomfort by reducing the sensation of the needle puncturing the skin.

Choice B rationale: Applying heat to the area before the injection is not a common practice and may not significantly reduce discomfort during the injection.

Choice C rationale: Holding the barrel of the syringe still while injecting the medication is important for accuracy but does not specifically address minimizing discomfort.

Choice D rationale: Testing for blood return before injecting the medication is a technique used with intramuscular but it does not minimize pain during injection.

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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

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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