A nurse is assessing a patient’s wound that has granulation tissue. What does this finding indicate about the wound healing process? A) The wound is infectedB) The wound is in the inflammatory phaseC) The wound is healing and moving into the proliferative phaseD) The wound is undergoing necrosis
Read DetailsAfter removing the old wet-to-dry dressing, what should the nurse do next? A) Clean the wound with hydrogen peroxideB) Assess the wound for signs of infectionC) Apply the new dressing immediatelyD) Notify the healthcare provider
Read DetailsA patient asks the nurse about the best way to care for a new surgical incision. What is the most appropriate response? A) “Keep the incision dry at all times.”B) “Clean the incision with hydrogen peroxide daily.”C) “Follow your healthcare provider’s instructions for dressing changes.”D) “Avoid touching the incision area.”
Read DetailsWhen assessing for tissue integrity, which of the following findings would indicate a problem with circulation? A) Warmth and redness in the areaB) Skin turgor that is elasticC) Pale or cyanotic skinD) Intact skin with no lesions
Read DetailsA nurse is assessing a surgical wound that has dehiscence. What is the priority nursing action? A) Apply a clean, dry dressingB) Notify the healthcare providerC) Assess the wound for signs of infectionD) Place the patient in a supine position
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