The nurse is caring for a patient with a wound. The patient appears anxious as the nurse is preparing to change the dressing. Which action should the nurse take?

Tell the patient “close your eyes.”

Ask the family to leave the room.

Turn on the television.

Explain the procedure.

Answer and Explanation

The Correct Answer is D

A. Telling the patient to close their eyes may not alleviate their anxiety and does not provide comfort or education.

B. Asking the family to leave could increase the patient's anxiety, especially if the family provides emotional support.

C. Turning on the television may distract the patient, but it doesn't address their anxiety.

D. Explaining the procedure helps reduce anxiety by informing the patient about what to expect, which promotes trust and understanding.

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Correct Answer is D

Explanation

A. Vitamin D is important for bone health but is not directly involved in wound healing.

B. Vitamin B1 (thiamine) is essential for energy metabolism but does not play a major role in wound healing.

C. Calcium is vital for bone health, but protein plays a more significant role in tissue repair.

D. Protein is essential for tissue regeneration and wound healing as it helps build and repair tissues.

A. Include intact skin at the wound edges in the culture B. Irrigate the wound with an antiseptic prior to obtaining the specimen C. Cleanse the wound with 0.9% sodium chloride saline irrigation before obtaining the specimen D. Swab an area of skin away from the wound to identify the usual flora

Correct Answer is C

Explanation

A. Including intact skin in the culture would not accurately reflect the bacteria present in the wound itself.

B. Irrigating with an antiseptic may alter the bacterial flora, potentially leading to inaccurate culture results.

C. Cleansing the wound with 0.9% sodium chloride helps remove surface contaminants without affecting the bacterial culture from the wound bed.

D. Swabbing away from the wound does not provide information about the organisms causing the infection.

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The nurse is caring for a patient with a wound. The patient appears anxious as the nurse is preparing to change the dressing. Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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