The nurse is performing a dressing change for a patient and notices white skin around the wound edges. The nurse is aware that:

there is too much moisture present in the wound bed and treatment should be changed.

the wound will require surgical debridement of the nonviable tissue at the wound edges.

the patient requires turning and positioning every two hours.

this is a normal finding that indicates wound healing

Answer and Explanation

The Correct Answer is B

Choice A rationale: White skin around the wound edges is not necessarily indicative of too much moisture in the wound bed.

Choice B rationale: White skin around the wound edges may suggest nonviable tissue, and surgical debridement may be needed.

Choice C rationale: Turning and positioning every two hours is important for preventing pressure injuries but is not directly related to the observed skin color.

Choice D rationale: White skin around the wound edges is not a normal finding and indicates a potential issue with tissue viability.

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Correct Answer is B

Explanation

Choice A rationale: Protecting the wound from additional pressure is more commonly achieved with pressure-relieving devices.

Choice B rationale: Providing moisture to the wound is the primary purpose of a hydrogel dressing, promoting a moist wound environment for healing.

Choice C rationale: Enhancing healing by primary intention is more related to surgical wound closure rather than the use of a hydrogel dressing.

Choice D rationale: Absorbing wound drainage is not the primary purpose of a hydrogel dressing, as its focus is on providing moisture.

A. Injecting one mL of air into a vial before withdrawing 20 mg furosemide from a vial labeled 20 mg/mL B. Instructing a client to place a buccal medication under the client's tongue and allowing it to absorb. C. Pouring the ordered medication "Robitussin 2 tsp. now to the 10 ml mark on a medication cup. D. Selecting a 1 ml syringe with a 5/8 inch needle to be used for giving 0.5 mL of heparin subcutaneously.

Correct Answer is B

Explanation

Choice A rationale: Injecting one mL of air into a vial before withdrawing 20 mg furosemide is an appropriate technique to equalize pressure in the vial.

Choice B rationale: Instructing a client to place a buccal medication under the client's tongue this is a method for administering sublingual medications. Buccal medications are placed between the cheek and the gum and allowed to dissolve slowly.

Choice C rationale: Pouring liquid medication to the 10 ml mark on a medication cup is acceptable, as long as the cup is held at eye level and the lowest point of the meniscus is used to measure the volume.

Choice D rationale: Selecting a 1 ml syringe with a 5/8 inch needle is suitable for giving heparin subcutaneously, as this ensures accuracy and minimizes tissue trauma.

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The nurse is performing a dressing change for a patient and notices white skin around the wound edges. The nurse is aware that:

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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