When the patient complains that he feels he is getting worse because of the increased swelling at his wound site on his leg, the nurse's most helpful response would be that swelling indicates that:

there is probably a deeper injury than what appears on the surface.

he has lain in one position for such a long time that swelling has occurred.

vessels have dilated and allowed plasma to leak into the wound site.

an infection is in progress at the wound site.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

There is probably a deeper injury than what appears on the surface is incorrect because swelling at the wound site is a normal part of the inflammatory stage of wound healing.

Choice B rationale:

He has lain in one position for such a long time that swelling has occurred is incorrect because swelling at the wound site is a normal part of the inflammatory stage of wound healing.

Choice C rationale:

Vessels have dilated and allowed plasma to leak into the wound site is the correct answer because this is a normal part of the inflammatory stage of wound healing.

Choice D rationale:

An infection is in progress at the wound site is incorrect because while swelling can be a sign of infection, it is also a normal part of the inflammatory stage of wound healing.

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Correct Answer is A

Explanation

Choice A rationale:

Testing the temperature of the solution is crucial to prevent burns.

Choice B rationale:

While using sterile equipment and solution is important, it’s not the most important in a hot soak treatment.

Choice C rationale:

Comfort is important but not as critical as preventing burns.

Choice D rationale:

Soaking only the affected area is good practice but not as vital as preventing burns.

A. reconstruction. B. maturation. C. proliferation. D. inflammation.

Correct Answer is D

Explanation

Choice A rationale:

Reconstruction is incorrect because it is not the second stage of wound healing.

Choice B rationale:

Maturation is incorrect because it is not the second stage of wound healing.

Choice C rationale:

Proliferation is incorrect because it is not the second stage of wound healing.

Choice D rationale:

Inflammation is the correct answer because it is the second stage of wound healing.

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When the patient complains that he feels he is getting worse because of the increased swelling at his wound site on his leg, the nurse's most helpful response would be that swelling indicates that:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When giving a hot soak treatment, it is most important to:

Correct Answer is A

Explanation

Enter instructional text.The nurse clarifies that the second stage of wound healing is:

Correct Answer is D

Explanation

The nurse places Dakin solution in a wound to accomplish chemical:

When the patient complains that he feels he is getting worse because of the increased swelling at his wound site on his leg, the nurse's most helpful response would be that swelling indicates that:

A nurse is ambulating a patient in the hall a few days after abdominal surgery, and the patient says, "I think something just let go.”. The initial intervention by the nurse should be to:

The nurse places Dakin solution in a wound to accomplish chemical:

A nurse is collecting data on a client.Which of the following findings increase the client's risk of a pressure injury?

The nurse changing a wet to dry normal saline dressing for a patient with an ulcer on the heel finds that the old dressing is stuck to the wound bed.The nurse's most beneficial intervention would be to:

A nurse is caring for a group of clients.Which of the following clients should the nurse identify is at the highest risk for developing a pressure injury?

A nurse is caring for a client who has a stage 4 sacral pressure injury for which the provider has prescribed mechanical debridement.Which of the following is a form of mechanical debridement that the nurse should expect the client to receive?