Which statement provides the best documentation of the amount of wound drainage?

Two 4x4 gauze cloths saturated with purulent drainage.

Large amounts of exudate removed with dressing.

Dressing dry on top, wet adjacent to the wound.

Outer dressing dry and intact, moderate drainage noted underneath.

Answer and Explanation

The Correct Answer is A

Two 4x4 gauze cloths saturated with purulent drainage. This statement provides the best documentation of the amount of wound drainage because it specifies the size and number of gauze cloths, the type and amount of exudate, and the presence of infection

Choice B is wrong because it does not indicate the size or number of dressings, the type or amount of exudate, or the presence of infection.

Choice C is wrong because it does not indicate the size or number of dressings, the type of exudate, or the presence of infection.

Choice D is wrong because it does not indicate the size or number of dressings, the type of exudate, or the presence of infection.

Normal ranges for wound drainage are categorized as scant, minimal, moderate, or large/copious The type of wound drainage can be described as serous, sanguineous, serosanguineous, or purulent

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Correct Answer is C

Explanation

This is because immobilizing the wrist prevents kinking or dislodgement of the intravenous catheter and reduces the risk of complications such as infiltration, phlebitis, or infection.

Some additional information for the response are:

Choice A is wrong because placing the arm across the client’s chest may compromise venous return and increase the risk of thrombosis.

Choice B is wrong because using a wrist restraint may cause skin breakdown, nerve damage, or impaired circulation.

Choice D is wrong because instructing the client to limit use the of that arm may not be sufficient to prevent catheter movement or accidental removal.

Normal ranges for venous access depend on the type and location of the catheter, but some general values are: potassium (3 to 5 mEq/L), blood urea nitrogen (10 to 20 mg/dL), and central venous pressure (8 to 12 mmHg).

A. One drop od tid. B. One drop ou daily. C. One drop right ear bid. D. One drop left eye daily.

Correct Answer is D

Explanation

One drop left eye daily.

This is because it uses the correct abbreviation for left eye (os) and the correct frequency (daily).

The other choices are wrong because:

Choice A uses od which means right eye, not once daily.

Choice B uses ou which means both eyes, not each eye.

Choice C uses right ear which is not an eye drop medication. Some common eye drop prescription abbreviations are:

gt or gtt for drop or drops
od for right eye
os for left eye
ou for both eyes
bid for twice a day
tid for three times a day
qid for four times a day
prn for as needed

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Which statement provides the best documentation of the amount of wound drainage?

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Naxlex Comprehensive Predictor Exams

A client with difficult venous access has an intravenous insertion site located at the bend of the wrist. Which action would be most appropriate for a nurse to take?

Correct Answer is C

Explanation

Which prescription written by a health care provider for an eye drop medication is written correctly?

Correct Answer is D

Explanation

A client who has a blood glucose level of 800 mg/dL is to receive insulin intravenously. Which form of insulin is safe for intravenous administration?

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