The nurse assesses a deep wound. The area is covered by black and necrotic tissue. What term would the nurse use when documenting this wound?
Blanching
Cellulitis
Tunneling
Eschar
The Correct Answer is D
Choice A reason: Blanching is not the term for black and necrotic tissue. Blanching is the temporary whitening of the skin when pressure is applied. It indicates that the blood flow is intact and the tissue is healthy.
Choice B reason: Cellulitis is not the term for black and necrotic tissue. Cellulitis is a bacterial infection of the skin and subcutaneous tissue. It causes redness, swelling, warmth, and pain in the affected area.
Choice C reason: Tunneling is not the term for black and necrotic tissue. Tunneling is a narrow channel or pathway that extends from the wound into the surrounding tissue. It indicates a deeper and more complex wound.
Choice D reason: Eschar is the term for black and necrotic tissue. Eschar is a thick, dry, and hard crust that forms over a wound. It indicates a severe tissue damage and impaired healing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Eradicating the disease is not the purpose of the medications, because osteoarthritis is a chronic and progressive condition that cannot be cured by drugs. Osteoarthritis is a degenerative joint disease that causes the breakdown of cartilage and bone, leading to pain, stiffness, and reduced mobility.
Choice B reason: Turning on the immune system is not the purpose of the medications, because osteoarthritis is not an autoimmune disease that involves the immune system attacking the joints. Osteoarthritis is a mechanical disease that involves the wear and tear of the joints due to aging, injury, or overuse.
Choice C reason: Reducing pain and inflammation is the purpose of the medications, because osteoarthritis is a painful and inflammatory condition that affects the quality of life of the client. The medications for osteoarthritis include analgesics, such as acetaminophen or opioids, and antiinflammatory drugs, such as nonsteroidal antiinflammatory drugs (NSAIDs) or corticosteroids, which can relieve the symptoms and improve the function of the joints.
Choice D reason: Managing weight loss is not the purpose of the medications, because osteoarthritis is not a metabolic disease that affects the weight of the client. Osteoarthritis is a structural disease that affects the joints of the client. However, managing weight is an important factor in preventing or treating osteoarthritis, as excess weight can increase the stress and damage on the joints.
Correct Answer is ["A","B"]
Explanation
Choice A reason: Polyuria is the production of abnormally large amounts of urine, which can be caused by various factors, such as diabetes, kidney disease, or diuretics. Polyuria is not an expected finding in a client with inflammation, which is the body's response to injury or infection. Inflammation does not affect the urinary system directly, unless the inflammation is located in the kidneys or bladder.
Choice B reason: Edema is the swelling of tissues due to excess fluid accumulation, which can be caused by various factors, such as heart failure, liver disease, or venous insufficiency. Edema is not an expected finding in a client with inflammation, which is the body's response to injury or infection. Inflammation does not cause fluid retention, but rather fluid leakage from the blood vessels into the interstitial spaces.
Choice C reason: Heat is an expected finding in a client with inflammation, which is the body's response to injury or infection. Heat is caused by the increased blood flow to the inflamed area, which brings more oxygen and nutrients to the damaged tissues. Heat also helps to kill or inhibit the growth of microorganisms that may cause infection.
Choice D reason: Erythema is an expected finding in a client with inflammation, which is the body's response to injury or infection. Erythema is the redness of the skin due to the dilation of the blood vessels in the inflamed area, which increases the blood flow and the delivery of oxygen and nutrients to the damaged tissues. Erythema also helps to signal the presence of inflammation and attract immune cells to the site.
Choice E reason: Pain is an expected finding in a client with inflammation, which is the body's response to injury or infection. Pain is caused by the stimulation of the nerve endings by chemical mediators, such as histamine, prostaglandins, and bradykinin, that are released by the inflamed tissues. Pain also helps to alert the client of the injury or infection and to limit the movement or use of the affected area.
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