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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale

Administering systemic antibiotics is essential to treat the underlying bacterial infection causing severe impetigo. This intervention helps reduce infection spread and promotes healing.

Choice B rationale

Placing mitts on the client's hands may prevent scratching, which can worsen impetigo, but it is not the primary treatment for the infection itself. Antibiotic therapy is more crucial.

Choice C rationale

Continuing antibiotics for 21 days is not a standard duration for impetigo treatment. The treatment duration typically ranges from 7 to 10 days, depending on the severity and response to treatment.

Choice D rationale

Topical antibiotics are used for mild cases of impetigo. For severe impetigo, systemic antibiotics are more appropriate and effective in managing the infection.

A. Papule. B. Vesicle. C. Wheal. D. Pustule.

Correct Answer is D

Explanation

Choice A rationale

A papule is a small, raised, solid pimple or swelling on the skin, often forming part of a rash. It does not typically contain pus and is not associated with impetigo, which is characterized by pustules.

Choice B rationale

A vesicle is a small fluid-filled blister on the skin, usually containing clear fluid. Impetigo typically presents with pustules rather than vesicles.

Choice C rationale

A wheal is a raised, itchy area of skin that is often a sign of an allergic reaction. It is not characteristic of impetigo, which involves pustules.

Choice D rationale

Impetigo is a highly contagious bacterial skin infection that usually presents with pustules, which are raised lesions containing pus. These pustules can rupture and form a yellowish crust, which is a hallmark of impetigo.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When caring for a client with severe impetigo, the nurse should include which intervention in the care plan?

Correct Answer is A

Explanation

A nurse is assessing a client with impetigo. The nurse would most likely observe which of the following?

Correct Answer is D

Explanation

A nurse caring for a client with head trauma will be monitoring the client for Cushing's triad. What will the nurse recognize as the symptoms associated with Cushing's triad? Select all that apply.

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Which occurs when reflexes are hyperactive when the foot is abruptly dorsiflexed?

A client in the emergency department has a suspected neurologic disorder. To assess gait, the nurse asks the client to take a few steps; with each step, the client's feet make a half circle. To document the client's gait, the nurse should use which term?

A client is being tested for a gag reflex. When the nurse places the tongue blade to the back of the throat, there is no response elicited. What dysfunction does the nurse determine the client has?

A client has sustained traumatic injuries that involve several bone fractures. A fracture of what type of bone may interfere with the protection of the client's vital organs?

A client has difficulty interpreting their awareness of body position in space. Which lobe is most likely to be damaged?

The nurse is caring for a client who sustained a moderate head injury following a bicycle accident. The nurse's most recent assessment reveals that the client's respiratory effort has increased. What is the nurse's most appropriate action?