Question

1. The nurse is caring for a patient who has a pressure ulcer on his back. What nursing interventions would the nurse perform? a. The nurse places a foam wedge under his body to keep weight off the patient's back b. The nurse uses a ring cushion to protect reddened areas from additional pressure C. The nurse increases the amount of time the head of the bed is elevated d. The nurse uses positioning devices and techniques to maintain posture and distribute weight evenly for the patient in the chair. 2. The nurse caring for a postoperative patient is cleaning the patient's wound. Which nursing action reflects the proper procedure for wound care? a. The nurse works outward from the wound in lines parallel to it b. The nurse uses friction when cleaning the wound to loosen dead cells C. The nurse swabs the wound with povidone-iodine to fight infection in the wound d. The nurse swabs the wound from the bottom to the top 3. The nurse is changing the dressing of a patient with a gunshot wound. What nursing auction would the nurse provide? a. The nurse uses wet-to-dry dressing continuously b. The nurse keeps the intact, healthy skin surrounding the ulcer moist because it is susceptible to breakdown C. The nurse selects a dressing that absorbs exudate, if it is present, but still maintains a moist environment d. The nurse packs the wound cavity tightly with dressing material

Answer 1

1. The nurse is caring for a patient who has a pressure ulcer on his back, then the nurse should use a ring cushion to protect reddened areas from additional pressure.

Ring cushion protects a particular area with damage and prevents additional pressure which helps to stop the progression of bedsore.

Answer - nurse uses a ring cushion to protect reddened areas from additional pressure.

2. The nurse caring for a post-operative patient is cleaning the patient's wound, then the nurse should swab the wound with povidone-iodine to fight infection in the wound.

povidone-iodine is an anti-microbial solution that helps to fight with infection.

Answer - the nurse swab the wound with povidone-iodine to fight infection in the wound.

3. The nurse is changing dressing of a patient with a gunshot wound then the nurse should packs the wound cavity tightly with dressing materials.

Because a gunshot wound is a hollow wound, you should pack the wound to dry it from inside.

Answer - the nurse packs the wound cavity tightly with dressing materials.