The nurse documenting an acute open wound should include which characteristics? Select all that apply.

Wound size.

Wound bed.

Periwound skin.

Pattern of eruption.

Answer and Explanation

Correct Answer : A,B,C

Choice A rationale

Documenting wound size includes measuring the length, width, and depth of the wound to track the healing process and plan appropriate interventions.

Choice B rationale

The wound bed should be assessed for tissue type (granulation, slough, or eschar), color, and the presence of any exudate or infection.

Choice C rationale

The periwound skin is the area around the wound which should be assessed for color, temperature, swelling, and signs of maceration or excoriation.

Choice D rationale

Pattern of eruption is more relevant to dermatological conditions such as rashes or lesions, and not a primary focus for documenting acute open wounds.

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Correct Answer is B

Explanation

Choice A rationale

The temporal lobe is primarily responsible for processing auditory information and is involved in memory formation. It plays a crucial role in hearing, language comprehension, and storing visual memories. It is not primarily responsible for abstract thought.

Choice B rationale

The frontal lobe is the largest of the cerebral lobes and is primarily involved in higher cognitive functions such as abstract thought, decision-making, problem-solving, and planning. It also plays a significant role in controlling voluntary movements, speech production, and emotional regulation.

Choice C rationale

The parietal lobe is involved in processing sensory information such as touch, temperature, and pain. It plays a role in spatial orientation and perception, as well as integrating sensory input to form a coherent understanding of the environment. It is not the largest lobe nor the one controlling abstract thought.

Choice D rationale

The occipital lobe is primarily responsible for processing visual information. It interprets visual stimuli from the eyes and helps in recognizing objects, shapes, and colors. It is not involved in abstract thought or higher cognitive functions.

A. Wash hands, apply a pediculicide to the client's scalp, and remove any observable mites. B. Place the client on enteric precautions. C. Isolate the client's bed linens until the client is no longer infectious. D. Notify the nurse in the day surgery unit of a potential scabies outbreak.

Correct Answer is C

Explanation

Choice A rationale

Pediculicides are used to treat lice, not scabies. Proper hand hygiene is important, but applying pediculicide is not necessary for scabies management.

Choice B rationale

Enteric precautions are for infections transmitted via the fecal-oral route, not for scabies, which requires contact precautions.

Choice C rationale

Isolating the client's bed linens and applying contact precautions help prevent the spread of scabies to other clients.

Choice D rationale

Notifying the day surgery unit of a potential scabies outbreak is important, but it does not directly prevent infection in other clients.

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The nurse documenting an acute open wound should include which characteristics? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which cerebral lobe is the largest and controls abstract thought?

Correct Answer is B

Explanation

A nurse discovers scabies when assessing a client who has just been transferred to the medical-surgical unit from the day surgery unit. To prevent scabies infection in other clients, the nurse should:

Correct Answer is C

Explanation

The nurse is educating a group of people newly diagnosed with migraine headaches. What information should the nurse include in the educational session?

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:

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