The nurse is performing a dry sterile dressing change for an abdominal wound.
The nurse should use a swab to clean:

From the left to the right across the wound.

From the outer abdomen toward the wound.

In a circular motion around the wound, circling to the outside.

Directly over the wound.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Cleaning from left to right across the wound can introduce bacteria from the surrounding skin into the wound, which can lead to infection.

Choice B rationale:

Cleaning from the outer abdomen toward the wound can also introduce bacteria from the surrounding skin into the wound.

Choice C rationale:

Cleaning in a circular motion around the wound, circling to the outside, helps to move bacteria away from the wound and reduce the risk of infection.

Choice D rationale:

Cleaning directly over the wound can disrupt the healing process and potentially introduce bacteria into the wound.

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Correct Answer is C

Explanation

Choice A rationale:

A pressure injury is a general term for localized damage to the skin and underlying soft tissue, but it doesn’t specify the stage.

Choice B rationale:

Stage 2 pressure injuries involve partial-thickness loss of skin with exposed dermis.

Choice C rationale:

Stage 1 pressure injuries are characterized by a reddened area on the skin that does not blanch with pressure.

Choice D rationale:

Stage 3 pressure injuries involve full-thickness skin loss.

Choice E rationale:

Stage 4 pressure injuries involve full-thickness skin and tissue loss with exposed or directly palpable fascia.

A. tertiary intention. B. remodeling phase. C. primary intention. D. secondary intention.

Correct Answer is A

Explanation

Choice A rationale:

Tertiary intention, also known as delayed primary closure or secondary suture, is a type of wound healing where the wound is initially left open and closed after several days.

Choice B rationale:

The remodeling phase is not a type of wound healing, but a stage of wound healing where the wound fully closes and the new tissue slowly gains strength and flexibility.

Choice C rationale:

Primary intention is a type of wound healing where the wound edges are approximated (brought together) and the wound heals by the process of epithelialization.

Choice D rationale:

Secondary intention is a type of wound healing where the wound is left open and heals by granulation, contraction, and epithelialization.

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The nurse is performing a dry sterile dressing change for an abdominal wound.The nurse should use a swab to clean:

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Naxlex Comprehensive Predictor Exams

The patient entered the hospital with a reddened area that does not blanch with pressure over the left hip.He states that it is painful.This is a:

Correct Answer is C

Explanation

What type of wound heals by delaying the suturing until the infection is resolved?

Correct Answer is A

Explanation

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The nurse is performing a dry sterile dressing change for an abdominal wound.
The nurse should use a swab to clean: