Exam (elaborations)
NURS 3111 Exam 3 Ch 32 Questions With Complete Solutions
- Course
- Institution
NURS 3111 Exam 3 Ch 32 Questions With Complete Solutions
[Show more]
Content preview
NURS 3111 Exam 3 Ch 32 Questions With CompleteSolutions
1. Which activity should the nurse implement to decrease
shearing force on a client's stage II pressure injury?
a) Preventing the client from sliding in bed
b) Improving the client's hydration
c) Pulling the client up from under the arms
d) Lubricating the area with skin oil Correct Answers a)
Preventing the client from sliding in bed
Pg. 1055
Shearing force occurs when tissue layers move on one another,
causing vessels to stretch as they pass through the subcutaneous
tissue.
10. What type of dressing is occlusive or semi-occlusive, limits
exchange of oxygen between wound and environment, provides
minimal to moderate absorption of drainage, maintains a moist
wound environment, and may be left in place for three to seven
days, thus resulting in less interference with healing?
a) Hydrogel
b) Hydrocolloid
c) Alginate
d) Transparent film Correct Answers b) Hydrocolloid
Pg. 1073
,Hydrocolloids are occlusive or semi-occlusive dressings that
limit exchange of oxygen between wound and environment,
provide minimal to moderate absorption of drainage, maintain a
moist wound environment, and may be left in place for three to
seven days, thus resulting in less interference with healing.
Hydrogels maintain a moist wound environment and are best for
partial or full-thickness wounds. Alginates absorb exudate and
maintain a moist wound environment. They are best for wounds
with heavy exudate. Transparent films allow exchange of
oxygen between wound and environment. They are best for
small partial-thickness wounds with minimal drainage.
11. A medical-surgical nurse is assisting a wound care nurse
with the debridement of a client's coccyx wound. What is the
primary goal of this action?
a) Removing dead or infected tissue to promote wound healing
b) Stimulating the wound bed to promote the growth of
granulation tissue
c) Removing excess drainage and wet tissue to prevent
maceration of surrounding skin
d) Removing purulent drainage from the wound bed in order to
accurately assess it Correct Answers a) Removing dead or
infected tissue to promote wound healing
Pg. 1054
Debridement is the act of removing debris and devitalized tissue
in order to promote healing and reduce the risk of infection.
Debridement does not directly stimulate the wound bed, and the
goal is neither assessment nor the prevention of maceration.
, 12. The nurse is preparing to measure the depth of a client's
tunneled wound. Which implement should the nurse use to
measure the depth accurately?
a) An otic curette
b) A sterile tongue blade lubricated with water soluble gel
c) A sterile, flexible applicator moistened with saline
d) A small plastic ruler Correct Answers c) A sterile, flexible
applicator moistened with saline
Pg. 1107
A sterile, flexible applicator is the safest implement to use. A
small plastic ruler is not sterile. A sterile tongue blade lubricated
with water soluble gel is too large to use in a wound bed. An
otic curette is a surgical instrument designed for scraping or
debriding biological tissue or debris in a biopsy, excision, or
cleaning procedure and not flexible.
13. A nurse is cleaning the wound of a client who has been
injured by a gunshot. Which guideline is recommended for this
procedure?
a) Once the wound is cleaned, gently dry the wound bed with an
absorbent cloth
b) Use clean technique to clean the wound
c) Clean the wound in a circular pattern, beginning on the
perimeter of the wound
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 Classroom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
71498 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now