What is the correct and complete group of descriptions you would use to document a wound?
Drainage, odor, appearance, and size
Size, odor, location, and depth
Location, length, width, depth, appearance, and drainage
Color, location, appearance, and drainage
The Correct Answer is C
Choice A reason: Drainage, odor, appearance, and size provide incomplete wound documentation, missing critical details like location and depth. Comprehensive wound assessment requires precise measurements and site identification to track healing, guide treatment, and prevent complications like infection, making this choice insufficient for clinical standards.
Choice B reason: Size, odor, location, and depth omit key descriptors like appearance and drainage, which indicate infection or healing status. Wound documentation must include all measurable aspects to ensure accurate monitoring and treatment planning, rendering this choice inadequate for thorough medical records.
Choice C reason: Location, length, width, depth, appearance, and drainage form a complete wound description, capturing site, dimensions, tissue characteristics, and exudate. This comprehensive approach supports accurate tracking of healing, infection risk, and treatment efficacy, aligning with clinical guidelines for wound care documentation and management.
Choice D reason: Color, location, appearance, and drainage lack measurements like length, width, and depth, essential for monitoring wound progression. Omitting these quantifiable metrics hinders accurate assessment of healing or deterioration, making this choice incomplete for standardized wound documentation in clinical practice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: A stethoscope assesses heart sounds, detecting murmurs or irregular beats, but does not measure electrical conduction. It provides auditory data on valve function, not heart rate or rhythm via electrical activity. Electrocardiograms are required for detailed analysis of cardiac electrical patterns, making this choice incorrect.
Choice B reason: A blood pressure cuff measures arterial pressure, reflecting cardiovascular workload, but not electrical conduction. It provides systolic and diastolic values, not heart rhythm or rate data. Electrical activity assessment requires tools like electrocardiograms, rendering this choice irrelevant for the described diagnostic purpose.
Choice C reason: An electrocardiogram (ECG) records the heart’s electrical activity, mapping conduction pathways to assess heart rate and rhythm. It detects arrhythmias, ischemia, or conduction delays by analyzing waveforms like P, QRS, and T, making it the precise tool for evaluating cardiac electrical function, as required by the question.
Choice D reason: Doppler ultrasound evaluates blood flow velocity, used in vascular or fetal assessments, but does not measure cardiac electrical conduction. It lacks the capability to assess heart rate or rhythm through electrical signals, unlike an electrocardiogram, making it an incorrect choice for this diagnostic purpose.
Correct Answer is A
Explanation
Choice A reason: Medication reconciliation involves compiling a complete, accurate list of current medications, including prescriptions, supplements, herbals, and OTC drugs, to ensure safe transitions across care settings. This prevents errors like omissions or duplications, critical for patient safety, guiding accurate prescribing and reducing adverse drug events in clinical practice.
Choice B reason: Listing medications prescribed at discharge is part of discharge planning, not full medication reconciliation, which includes all current medications across settings. This narrow definition risks missing ongoing therapies, leading to errors like discontinued drugs, compromising safety and continuity of care during transitions in healthcare settings.
Choice C reason: Listing medication allergies is part of allergy documentation, not medication reconciliation, which focuses on current medications. Confusing these risks overlooking active prescriptions, leading to potential drug errors or interactions. Reconciliation ensures a comprehensive medication profile, critical for safe prescribing and patient care across healthcare transitions.
Choice D reason: Obtaining medication interactions is a pharmacist’s analysis, not medication reconciliation, which compiles a current medication list. Assuming this misaligns with reconciliation’s purpose, risking incomplete profiles and errors like missed doses. Reconciliation ensures accurate medication records, essential for preventing adverse events and supporting safe care transitions.
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