NURS MISC Inflammation and Wound Healing Test Bank,100% CORRECT
1 view 0 purchase
Course
NURS MISC
Institution
NURS MISC
NURS MISC Inflammation and Wound Healing Test Bank
MULTIPLE CHOICE
1. The nurse assesses a patient’s surgical wound on the first postoperative day and notes redness and warmth around the incision. Which action by the nurse is most appropriate?
a. Obtain wound cultures.
b. Document the a...
nurs misc inflammation and wound healing test bank
Written for
NURS MISC
All documents for this subject (866)
Seller
Follow
ElonMusk
Reviews received
Content preview
NURS MISC Inflammation and Wound Healing Test Bank
MULTIPLE CHOICE
1. The nurse assesses a patient’s surgical wound on the first postoperative day and
notes redness and warmth around the incision. Which action by the nurse is
most appropriate?
a. Obtain wound cultures.
b. Document the assessment.
c. Notify the health care provider.
d. Assess the wound every 2 hours.
ANS: B
The incisional redness and warmth are indicators of the normal initial
(inflammatory) stage of wound healing by primary intention. The nurse should
document the wound appearance and continue to monitor the wound. Notification
of the health care provider, assessment every 2 hours, and obtaining wound
cultures are not indicated because the healing is progressing normally.
2. A patient with an open leg wound has a white blood cell (WBC) count of 13,
500/µL and a band count of 11%. What action should the nurse take first?
a. Obtain wound cultures.
b. Start antibiotic therapy.
c. Redress the wound with wet-to-dry dressings.
d. Continue to monitor the wound for purulent drainage.
ANS: A
The increase in WBC count with the increased bands (shift to the left) indicates
that the patient probably has a bacterial infection, and the nurse should obtain
wound cultures. Antibiotic therapy and/or dressing changes may be started, but
cultures should be done first. The nurse will continue to monitor the wound, but
additional actions are needed as well.
3. A patient with a systemic bacterial infection feels cold and has a shaking
chill. Which assessment finding will the nurse expect next?
a. Skin flushing
b. Muscle cramps
c. Rising body temperature
This study source was downloaded by 100000802531269 from CourseHero.com on 10-05-2022 14:34:56 GMT -05:00
https://www.coursehero.com/file/13099980/ch12/
, d. Decreasing blood pressure
ANS: C
This study source was downloaded by 100000802531269 from CourseHero.com on 10-05-2022 14:34:56 GMT -05:00
https://www.coursehero.com/file/13099980/ch12/
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ElonMusk. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.99. You're not tied to anything after your purchase.
