The nurse applies a moisture-retentive dressing to a client's wound. The nurse understands that the main advantage of this dressing, rather than a wet dressing, is its ability to:
Provide autolytic debridement.
Decrease epidermal resurfacing.
Enhance the absorption of topical medications.
Promote the formation of a protective scab that traps excess exudate.
Promote the formation of a protective scab that traps excess exudate.
The Correct Answer is A
Choice A rationale
Autolytic debridement is the natural process by which the body breaks down and removes dead tissue. Moisture-retentive dressings create an optimal environment for this process, facilitating wound healing.
Choice B rationale
Decreasing epidermal resurfacing is not a recognized benefit of moisture-retentive dressings. These dressings aim to promote healing, not inhibit epidermal growth.
Choice C rationale
While moisture-retentive dressings can help with the absorption of topical medications, this is not their main advantage. The primary benefit is creating a conducive environment for autolytic debridement.
Choice D rationale
Promoting the formation of a protective scab that traps excess exudate is not the main advantage of moisture-retentive dressings. In fact, these dressings help manage exudate and reduce the risk of infection without forming a scab.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Encouraging adequate water intake is important for overall health, but it does not directly address the client’s fear of undergoing an EEG. Adequate hydration can ensure better conduction of electrical signals, but it has no bearing on the client's anxiety related to a past electrocution incident. Therefore, it would not be effective in alleviating the client's specific fear regarding the EEG procedure.
Choice B rationale
Distracting the client’s attention from the test may temporarily reduce anxiety, but it does not address the underlying fear. The client’s fear stems from a misunderstanding of the EEG procedure, and distraction will not resolve this. It is more effective to provide factual information to dispel the fear.
Choice C rationale
Informing the client that they will not experience any electrical shock is a crucial step in alleviating their fear. An EEG records brain activity through electrodes placed on the scalp; it does not involve sending electrical currents into the body. Clarifying this fact helps address the root cause of the client’s fear, providing reassurance and reducing anxiety.
Choice D rationale
Informing the client that they will experience only mild electrical shock is incorrect and misleading. An EEG does not deliver any electrical shock to the client. Providing inaccurate information could increase the client’s anxiety and distrust. Proper education about the procedure's safety is essential for alleviating the client’s fear.
Correct Answer is C
Explanation
Choice A rationale
Aspiration of synovial fluid for serologic testing is a procedure known as arthrocentesis, which involves extracting joint fluid for analysis. While useful for diagnosing conditions like infections or arthritis, it is not the same as arthrography, which involves imaging.
Choice B rationale
Injection of corticosteroids into the client's knee joint to facilitate ROM is a therapeutic procedure to reduce inflammation and improve movement in conditions like arthritis, but it is not part of an arthrography procedure.
Choice C rationale
Injection of a contrast agent into the knee joint prior to ROM exercises is a key part of arthrography. The contrast agent helps to enhance the imaging of the joint structures during movement, allowing for a detailed assessment of the joint.
Choice D rationale
Replacement of the client's synovial fluid with a synthetic substitute is not related to arthrography. This description aligns more with viscosupplementation, a treatment for osteoarthritis.
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