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 A
Explanation
Choice A rationale
Assessing the client's verbal response is the first step in evaluating their level of consciousness (LOC). It provides immediate information about their ability to communicate and follow commands.
Choice B rationale
Assessing the client's response to pain is a later step in the LOC assessment if the client does not respond to verbal stimuli. It helps determine the level of consciousness if the client is not verbally responsive.
Choice C rationale
Assessing the client's judgment is part of a cognitive assessment but is not the first action when assessing LOC. It evaluates higher brain functions, not the initial level of responsiveness.
Choice D rationale
Assessing the client's ability to follow complex commands is part of a cognitive assessment and provides information about higher brain function but is not the first step in LOC assessment.
Correct Answer is C
Explanation
Choice A rationale
Deficient fluid volume is not the primary concern related to weight loss or ill-fitting dentures. While fluid intake should be monitored, it is less immediate than gastrointestinal issues from fiber deficiency.
Choice B rationale
Excessive intake of convenience foods might relate to weight loss but does not directly indicate a health risk. The primary risk is more focused on gastrointestinal function.
Choice C rationale
Constipation is a major risk due to limited fiber intake. Fiber is essential for bowel movement regularity, and its deficiency, coupled with ill-fitting dentures, increases the risk.
Choice D rationale
Infection is not directly related to the dietary concerns noted. While poor nutrition can weaken the immune system, it is not the most immediate health risk connected to the given symptoms. .
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