The nurse places Dakin’s solution in a wound for which purpose?

Chemical debridement

Healing

Phagocytosis

Primary intention

Answer and Explanation

The Correct Answer is A

Choice A rationale
Dakin’s solution is an antiseptic containing sodium hypochlorite, used in chemical debridement to clean wounds and remove dead tissue. It helps to reduce the bacterial load and prepares the wound bed for healing by removing non-viable tissue.

Choice B rationale
While Dakin’s solution aids in the overall healing process by cleaning the wound, it does not directly cause healing. Healing is a complex process involving tissue regeneration and repair, which Dakin’s solution supports indirectly.

Choice C rationale
Phagocytosis is a part of the immune response where cells engulf and digest pathogens and debris. Dakin’s solution does not induce phagocytosis but can reduce the microbial load, making it easier for immune cells to clear the wound.

Choice D rationale
Primary intention refers to the direct healing of a wound with minimal tissue loss, typically through suturing. Dakin’s solution is not used for primary intention but for treating wounds that are already open and require cleaning.

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Correct Answer is D

Explanation

Choice A rationale
Tegaderm or Opsite dressings are transparent and adhesive, allowing for wound inspection without removal, but they do not involve tape that remains in place for multiple changes.

Choice B rationale
Abdominal pads held in place with paper tape would require the tape to be removed and replaced with each dressing change, which can disrupt the skin.

Choice C rationale
The term ‘retention’ is incomplete and does not specify a type of dressing. Retention typically refers to the ability to keep something in place, such as a dressing, but does not imply that the tape remains in place.

Choice D rationale
Montgomery straps are designed with ties that attach to an adhesive base that remains on the skin. This allows the dressing to be changed without removing and reapplying tape, thus preventing skin disruption.

A. Excessive gas B. Complaint of constipation C. Increased drainage from the wound D. Increased pallor of the surgical site

Correct Answer is C

Explanation

Choice A rationale
Excessive gas is not typically an indication of wound dehiscence. While it may cause discomfort, it does not suggest that the wound layers have separated.

Choice B rationale
A complaint of constipation is a common postoperative concern due to decreased mobility and use of narcotics but is not a sign of wound dehiscence.

Choice C rationale
Increased drainage from the wound, especially if the fluid is clear or serous, can be an early sign of dehiscence, indicating that the wound layers are separating and fluid is accumulating.

Choice D rationale
Increased pallor of the surgical site might indicate poor perfusion but is not a direct sign of dehiscence. Dehiscence would more likely show signs of inflammation or unusual discharge.

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The nurse places Dakin’s solution in a wound for which purpose?

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Naxlex Comprehensive Predictor Exams

What type of dressing allows for multiple inspections and changes without disrupting the skin because the tape is left in place?

Correct Answer is D

Explanation

The nurse is alert to the indication of possible dehiscence of an abdominal surgical wound, which would be evidenced by:

Correct Answer is C

Explanation

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