The nurse is caring for a patient with a pressure ulcer on the left hip. The ulcer is black. Which next step will the nurse anticipate?

Debride the wound.

Manage drainage from the wound.

Document the wound.

Monitor the wound.

Answer and Explanation

The Correct Answer is A

A: Debriding the wound is the next step for a black (necrotic) pressure ulcer. Removing the dead tissue is essential to promote healing and prevent infection.

B: Managing drainage is important for wound care but is not the immediate next step for a necrotic ulcer.

C: Documenting the wound is necessary but does not address the need for debridement.

D: Monitoring the wound is important, but active intervention (debridement) is required for a necrotic ulcer to promote healing.

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Correct Answer is C

Explanation

A: A trochanter roll is used to prevent external rotation of the hips, not to prevent plantar flexion contractures.

B: A sheepskin heel pad provides cushioning and helps prevent pressure ulcers on the heels but does not prevent plantar flexion contractures.

C: A footboard is used to prevent plantar flexion contractures by keeping the feet in a neutral position. This helps maintain proper alignment and prevents the muscles and tendons from shortening.

D: An abduction pillow is used to maintain hip abduction, typically after hip surgery, and does not prevent plantar flexion contractures.

A. Antiplatelet aggregate B. Analgesic C. Antipyretic D. Anti-inflammatory

Correct Answer is A

Explanation

A: Aspirin is given as an antiplatelet aggregate to prevent blood clots in clients with a history of myocardial infarction. It inhibits platelet aggregation, reducing the risk of further cardiac events.

B: While aspirin has analgesic properties, this is not the primary reason for its use in clients with a history of myocardial infarction.

C: Aspirin also has antipyretic properties, but this is not the reason for its use in preventing cardiac events.

D: Aspirin’s anti-inflammatory properties are beneficial, but the primary reason for its use in myocardial infarction is its antiplatelet effect.

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The nurse is caring for a patient with a pressure ulcer on the left hip. The ulcer is black. Which next step will the nurse anticipate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

Explanation

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