While changing a wet-to-dry normal saline dressing for a patient with an ulcer on the heel, the nurse finds that the old dressing is stuck to the wound bed. What would be the most beneficial intervention by the nurse?

Leave it in place and cover it with new, wet dressings.

Moisten it with povidone-iodine.

Add normal saline to loosen it.

Pull it off using slow, steady pressure.

Answer and Explanation

The Correct Answer is C

Choice A rationale
Leaving the old dressing in place and simply covering it with new wet dressings would not address the issue of the dressing being adhered to the wound bed, which could lead to further tissue damage when it is eventually removed.

Choice B rationale
Povidone-iodine is an antiseptic and not typically used to moisten dressings that are stuck to a wound bed, as it may irritate the wound and delay healing.

Choice C rationale
Adding normal saline is the gentlest method to loosen a dressing that is stuck to a wound bed. It helps to rehydrate the dressing and the wound, making it easier to remove without causing additional trauma to the healing tissue.

Choice D rationale
Pulling off the dressing using slow, steady pressure could cause damage to the new tissue forming in the wound bed and should be avoided unless all other methods have failed.

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Correct Answer is C

Explanation

Choice A rationale
When administering a hot soak treatment, it is crucial to soak only the affected area to provide targeted heat therapy. This localized approach helps to increase blood flow, reduce pain, and promote healing in the specific area that requires treatment. Soaking only the affected area also minimizes the risk of overheating and potential burns to other parts of the body.

Choice B rationale
While positioning the patient comfortably is important for any treatment, it is not the most critical aspect of a hot soak treatment. Comfort should always be considered, but the primary goal of the hot soak is to apply heat to the affected area to aid in healing. Therefore, ensuring that only the affected area is soaked takes precedence over general patient comfort in this context.

Choice C rationale
Monitoring the temperature of the water is the most important aspect of a hot soak treatment. The water must be warm enough to be therapeutic but not so hot as to cause burns or discomfort. This ensures the treatment is both safe and effective1.

Choice D rationale
Checking the patient’s skin integrity is important, especially if the patient has a condition that affects skin sensitivity, such as diabetes. However, the immediate concern during a hot soak treatment is to monitor the temperature to prevent injury.

A. Using marijuana. B. Eating excessive fats. C. Smoking cigarettes. D. Drinking

Correct Answer is C

Explanation

Choice A:

While marijuana use can have various health effects, it is not typically associated with a reduction in functional hemoglobin.

Choice B:

A diet high in fats can lead to various health problems, such as heart disease and obesity, but it is not directly linked to a reduction in functional hemoglobin.

Choice C:

Smoking cigarettes can indeed lead to a reduction in functional hemoglobin. Smokers have higher blood hemoglobin concentrations than non-smokers. This is because smoking causes the body to increase red blood cell production to compensate for lower oxygen supply.

Choice D:

While excessive alcohol consumption can have numerous negative health effects, it is not typically associated with a reduction in functional hemoglobin.

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While changing a wet-to-dry normal saline dressing for a patient with an ulcer on the heel, the nurse finds that the old dressing is stuck to the wound bed. What would be the most beneficial intervention by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When giving a hot soak treatment, what is most important to ensure?

Correct Answer is C

Explanation

The nurse warns the patient that one of the patient’s habits has caused the reduction of functional hemoglobin, which limits the hemoglobin’s oxygen-carrying ability. To improve this situation, the nurse suggests that the patient quit:

Correct Answer is C

Explanation

When changing the dressing on the patient’s right arm, you see that the dressing has a moist yellow-red stain on it. How would you document this drainage?

What type of dressing allows for multiple inspections and changes without disrupting the skin because the tape is left in place?

A nurse is concerned about an HIV immunocompromised patient’s ability to heal due to a lack of certain factors. Which of the following are necessary for proper wound healing? (Select all that apply.)

The nurse clarifies that the second stage of wound healing is:

While changing a wet-to-dry normal saline dressing for a patient with an ulcer on the heel, the nurse finds that the old dressing is stuck to the wound bed. What would be the most beneficial intervention by the nurse?

The nurse reminds the 85-year-old patient that his healing will be slower due to age-related changes such as: (Select all that apply)

A nurse is caring for a client who has heavy drainage from a moist red wound that is bleeding. Which of the following types of dressings should the nurse select to help promote hemostasis?

Because the patient with an abdominal dressing requires frequent dressing changes, and the abdomen is beginning to show skin irritation from repeated tape removal, the nurse would change the dressing procedure in order to use: