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Wound NCLEX practice
NCLEX practice questions
| Question | Answer |
|---|---|
| After a surgical incision a patient often has an elevated body temperature and generalized malaise. These manifestations most often occure during___________? | Inflammatory Stage |
| Which Term would the nurse use to document wound drainage that is thick ,odorous ,and green? | Purulent |
| A patient with a large abdominal wound suddenly calls out for help stating that she feels as if her insides are falling out. you would report this as? | dehiscence and evisceration |
| A young girl was in a car accident and states" i feel ugly now" , what is the appropriate nursing diagnosis? | Disturbed body image |
| What action is most useful in preventing infections in wounds? | performing careful hand hygiene |
| During a dressing change you see reddish-pink tissue in the wound. This would indicate? | Granulation tissue |
| When assessing a patient for pressure ulcers, the most common site in adults is? | Sacrum |
| When explaining about factos contributing to pressure ulcers the would describe _______ as key? | Pressure |
| After an intialed assessment the nurse documents the prescence of a reddend area that has blistered.. According to the stages, the ulcer is classified as? | Stage 2 |
| An older person slumps and sit in the chair all day. she is most likely devloping a decubitis by? | Shearing Force |
| A stage 3 ulcer is manifested as? | an open lesion with subcutaneous tissue exposed |
| What treatment would the nurse expect to institute for a patient with a stage 2 ulcer? | a moisture retentive dressing |
Created by:
agoin182
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