The client has an open wound on the sacrum with an order for the following: "Apply hydrogel dressing on the wound. Change dressing every day." The nurse recognizes that the primary purpose of this dressing is to:

protect the wound from additional pressure.

provide moisture to the wound.

enhance healing by primary intention.

absorb the wound drainage.

Answer and Explanation

The Correct Answer is B

Choice A rationale: Protecting the wound from additional pressure is more commonly achieved with pressure-relieving devices.

Choice B rationale: Providing moisture to the wound is the primary purpose of a hydrogel dressing, promoting a moist wound environment for healing.

Choice C rationale: Enhancing healing by primary intention is more related to surgical wound closure rather than the use of a hydrogel dressing.

Choice D rationale: Absorbing wound drainage is not the primary purpose of a hydrogel dressing, as its focus is on providing moisture.

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Correct Answer is C

Explanation

Choice A rationale: Pursed-lip breathing is a compensatory mechanism to improve oxygenation and is not as severe an indication as cyanosis.

Choice B rationale: Clubbing of the nails is a chronic sign of oxygenation issues but may not be an acute and immediate indication of deterioration.

Choice C rationale: Cyanosis, the bluish discoloration of the skin and mucous membranes, is a serious indication of inadequate oxygenation.

Choice D rationale: Poor skin turgor is not a direct indicator of oxygenation status.

A. Sclera by the outer canthus B. Center of the cornea C. Sclera by the inner canthus D. Lower conjunctival sac

Correct Answer is D

Explanation

Choice A rationale: The sclera by the outer canthus is not the typical site for administering eyedrops bilaterally.

Choice B rationale: Dropping medication onto the center of the cornea is not the recommended technique for administering eyedrops.

Choice C rationale: The sclera by the inner canthus is not the usual site for administering eyedrops bilaterally.

Choice D rationale: The lower conjunctival sac is the appropriate area for administering eyedrops, ensuring proper absorption and distribution.

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The client has an open wound on the sacrum with an order for the following: "Apply hydrogel dressing on the wound. Change dressing every day." The nurse recognizes that the primary purpose of this dressing is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nursing assessment finding that represents the most serious indication of a client's deteriorating oxygenation status is:

Correct Answer is C

Explanation

A client must receive eyedrops bilaterally four times a day. The medication should be dropped onto which of the following areas?

Correct Answer is D

Explanation

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The client has an open wound on the sacrum with an order for the following: "Apply hydrogel dressing on the wound. Change dressing every day." The nurse recognizes that the primary purpose of this dressing is to: