Which of the following dressing types is most appropriate for the nurses to apply to a small skin tear in an older adult client?

Nonadherent dressing

Paste

Moist, sterile gauze

Duoderm

Answer and Explanation

The Correct Answer is A

A.   Nonadherent dressing: Nonadherent dressings are suitable for small skin tears in older adult clients because they prevent the dressing from sticking to the wound bed, minimizing trauma during dressing changes.
B.   Paste: Paste dressings are typically used for wound packing or for managing exuding wounds, not for small skin tears.
C.   Moist, sterile gauze: While moist, sterile gauze can be used for wound dressings, it may adhere to the wound bed, causing further trauma during dressing changes.
D.   Duoderm: Duoderm is a type of hydrocolloid dressing used for moderate to heavily exuding wounds, not for small skin tears.

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Correct Answer is A

Explanation

A. Place a N95 mask on the patient: Tuberculosis (TB) is an airborne infectious disease, and N95 masks are specifically designed to filter out airborne particles, including those that may carry TB bacteria. Therefore, placing an N95 mask on the patient helps prevent the spread of TB to others during transportation.

B. Place a surgical mask on the patient: While a surgical mask may provide some level of
protection, it is not as effective as an N95 mask in filtering out airborne particles, particularly those associated with TB transmission.
C. Be sure the patient is wearing a protective gown: Protective gowns are typically used to
prevent the transmission of infection through contact with body fluids or contaminated surfaces. However, in the case of TB, airborne precautions, including respiratory protection with masks, are more crucial.
D. Instruct the patient to wear gloves to radiology: Gloves are not necessary for respiratory protection against TB during transportation to radiology.

A. Exudate B. Pain C. Hyperthermia D. Hardening of the tissue

Correct Answer is C

Explanation

A. Exudate: Exudate refers to the fluid, such as pus or serum, that is discharged from a wound.
While exudate may be present in infected wounds, it is not a systemic response.
B. Pain: Pain is a localized response to tissue injury and may be present in infected wounds, but it is not a systemic response.
C. Hyperthermia: Hyperthermia, or an elevated body temperature (fever), is a common systemic response to infection, including wound infections. It indicates the body's immune response to the infection.
D. Hardening of the tissue: Hardening of the tissue, known as induration, may occur in infected wounds due to inflammation but is not a specific systemic response.

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Which of the following dressing types is most appropriate for the nurses to apply to a small skin tear in an older adult client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is transporting a patient with active tuberculosis (TB) to radiology. Which action should the nurse take?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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