(answered) Pre-Quiz FUN: Scenario 11 – Kyle M

1.

If a patient presents with a wound that has damaged the dermis and epidermis, with the edges of the

wound torn or jagged, the wound should be identified as a/an:

A. laceration.

B. puncture wound.

C. abrasion.

D. contusion.

2.

A nurse documents that a wound has "thick yellow exudate." This exudate could be described as:

A. serous.

B. sanguineous.

C. serosanguineous.

D. purulent.

3.

A nurse is preparing a patient with a minor open wound for discharge to home. Which statements by

the patient indicate that the patient understands discharge teaching? Select all that apply.

A. "I should contact my health care provider if I develop a fever and become extremely

tired."

B. "I should contact my health care provider if my wound starts looking swollen, red, or

becomes painful."

C. "I should expect my wound to start showing signs of healing in about 2 to 3 weeks."

D. "I should contact my health care provider if my wound has thick drainage for more

than 1 week."

4.

A nurse is caring for a patient whose wound is draining heavy serosanguineous exudate. Which

nursing intervention would be most effective for preventing infection for this patient?

A. Notifying the health care provider if the patient develops a fever or an increased WBC

count

B. Monitoring the wound for redness, swelling, and purulent drainage

C. Changing the dressing as ordered when it becomes soiled

D. Wearing gloves, gown, mask, and eyewear during dressing changes

5.

When monitoring a patient receiving IV therapy, a nurse must assess the IV site for phlebitis. Which

sign and/or symptom would be most indicative of phlebitis?

A. Skin cool to touch surrounding the IV site

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