The nurse is completing a sterile dressing change on a confused client. During the procedure, the client reaches down and touches the contents of the open dressing kit. What is the nurse's next action?

Continue changing the dressing

Open a new sterile dressing kit

Wash the client's hands

Restrain the client's hands

Answer and Explanation

The Correct Answer is B

A. Continuing risks contamination and infection.
B. Opening a new sterile dressing kit is necessary because the sterility of the current kit has been compromised by the client's touch.
C. Washing the client’s hands is important but doesn’t restore sterility to the dressing kit.
D. Restraining without assessing safety or other options is not appropriate immediately.

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Correct Answer is B

Explanation

A. Reassuring the family without addressing the issue is unsafe.
B. Applying a pressure dressing helps control bleeding, and reporting findings promptly ensures timely medical intervention.
C. Simply documenting and changing the dressing without addressing bleeding risks worsening the condition.
D. Waiting to monitor without immediate intervention could allow the client’s condition to deteriorate.

A. one who had pain but did not get relief B. one who has had chronic pain for years C. one who had pain but got adequate relief D. one who has had multiple pain experiences

Correct Answer is C

Explanation

A. A client who had pain without relief is more likely to have increased anxiety and a heightened pain response due to negative past experiences.
B. Chronic pain often leads to increased sensitivity and emotional distress over time, not necessarily decreased anxiety.
C. A client who experienced pain with adequate relief in the past is more likely to have positive expectations about pain management and feel less anxious, which can reduce the overall pain experience.
D. Multiple pain experiences do not guarantee decreased anxiety; if those experiences were negative or poorly managed, the client might actually have increased anxiety and sensitivity to pain.

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The nurse is completing a sterile dressing change on a confused client. During the procedure, the client reaches down and touches the contents of the open dressing kit. What is the nurse's next action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing ongoing postoperative care to a client who has had knee surgery. The nurse assesses the dressing and finds it saturated with blood. The client is restless and has a rapid pulse. What should the nurse do next?

Correct Answer is B

Explanation

Which client would be most likely to have decreased anxiety about, and response to, pain as a result of past experiences?

Correct Answer is C

Explanation

Which is an example of a perceived loss?

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