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 A
Explanation
Choice A reason: The descending colon is located in the left lower quadrant (LLQ), descending along the left abdomen. Assessing this area detects abnormalities like diverticulitis or masses. Accurate localization ensures targeted examination, guiding diagnosis and interventions, critical for managing colorectal conditions and preventing complications in abdominal assessments.
Choice B reason: The right lower quadrant (RLQ) contains the appendix and cecum, not the descending colon, which is in the LLQ. Misidentifying this risks incorrect assessment, potentially missing LLQ issues like colitis, delaying diagnosis and treatment, critical for addressing colorectal pathology in patients with abdominal symptoms.
Choice C reason: The right upper quadrant (RUQ) includes the liver and gallbladder, not the descending colon, located in the LLQ. Assuming RUQ misguides assessment, risking oversight of LLQ conditions like diverticulitis, delaying targeted interventions, essential for accurate diagnosis and management of abdominal issues in clinical practice.
Choice D reason: The left upper quadrant (LUQ) contains the stomach and spleen, not the descending colon, which resides in the LLQ. Misidentifying this risks missing LLQ pathology like masses or inflammation, delaying diagnosis and treatment, critical for effective abdominal assessment and management of colorectal conditions in patients.
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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