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: A sodium level of 142 mEq/L is within the normal range.

Choice B rationale: A potassium level of 3.2 mEq/L is below the normal range, indicating potential hypokalemia and requiring attention, especially if the client is on a diuretic.

Choice C rationale: A hematocrit level of 44% is within the normal range.

Choice D rationale: A chloride level of 100 mEq/L is within the normal range.

A. renal impairment. B. muscle sprain. C. hearing impairment. D. vaginal infection. E. liver failure.

Correct Answer is ["A","E"]

Explanation

Choice A rationale: Renal impairment can affect drug excretion and clearance, impacting pharmacokinetics.

Choice B rationale: Muscle sprain is not directly related to pharmacokinetics. Choice C rationale: Hearing impairment is not directly related to pharmacokinetics.

Choice D rationale: Vaginal infection may not have a direct impact on pharmacokinetics unless it is systemic.

Choice E rationale: Liver failure can affect drug metabolism, leading to altered pharmacokinetics.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse notes that a diuretic is listed on the client's medication administration record (MAR). It is most important for the nurse to report to the physician a serum:

Correct Answer is B

Explanation

The nurse is administering medications to a group of clients. Which client(s) warrant(s) the nurse's special attention when considering pharmacokinetics? The client(s) who has (have) a medical diagnosis of: (SELECT ALL THAT APPLY)

Correct Answer is ["A","E"]

Explanation

It is most critical for the nurse to use a filtered needle when preparing a parenteral medication that:

The nurse recognizes ten "rights" associated with giving medications to clients. Which are included in this group? (SELECT ALL THAT APPLY)

A client must receive eyedrops bilaterally four times a day. The medication should be dropped onto which of the following areas?

The nurse understands that the major factor affecting oxygenation in a client who has fluid in the lungs is:

A nurse is caring for a client being treated for hypernatremia. Which of the following are appropriate nursing interventions? (SELECT ALL THAT APPLY)

The nurse finds a client on bed rest experiencing clear signs of dyspnea. The nurse should assist the client to a:

The client asks the nursing student to crush her medications and put them in apple sauce. Even before the student researches the medications, he knows that the tablet he cannot deliver in this manner is:

The nurse has applied a topical agent to the client's skin, and then applies an ice pack to the area. This is done to: