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 B

Explanation

A. Amoxicillin: Amoxicillin is a penicillin-type antibiotic effective against susceptible bacteria, but it is not effective against MRSA because MRSA is resistant to penicillin and related antibiotics.
B. Vancomycin hydrochloride: Vancomycin is a glycopeptide antibiotic commonly used to treat MRSA infections due to its effectiveness against MRSA strains. It is considered one of the first-line antibiotics for treating severe MRSA infections.
C. Fluconazole: Fluconazole is an antifungal medication used to treat fungal infections such as candidiasis. It is not effective against bacterial infections like MRSA.
D. Abreva: Abreva is an over-the-counter medication used to treat cold sores caused by the herpes simplex virus. It is not effective against bacterial infections like MRSA.

A. Obtain a sputum culture. B. Cough and deep breathe every 6 hours. C. Encourage fluid intake of 1500 mL/day. D. Position the client prone.

Correct Answer is A

Explanation

A. Obtain a sputum culture: Obtaining a sputum culture helps identify the causative organism of pneumonia, which guides appropriate antibiotic therapy.
B. Cough and deep breathe every 6 hours: While coughing and deep breathing exercises are important for preventing complications such as atelectasis, they are not specific to pneumonia treatment and may not be appropriate for all patients with pneumonia.
C. Encourage fluid intake of 1500 mL/day: Adequate fluid intake is generally recommended for overall health but is not a specific intervention for pneumonia treatment.
D. Position the client prone: Positioning the client prone is not a standard intervention for pneumonia treatment. Depending on the severity and type of pneumonia, the client's positioning may vary, but prone positioning is not routinely recommended.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

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