NursingSprint
:: ::
Action
::
Action
:: ::
Action
:: ::
Action
:: ::
Action
:: ::
Action
:: ::
Action
:: ::
Open
:: ::
Action

Practice Question

The nurse changing a wet to dry normal saline dressing for a patient with an ulcer on the heel finds that the old dressing is stuck to the wound bed. The nurse's most beneficial intervention would be to:

Answer Choices:

Correct Answer:

Add normal saline to loosen it.

Rationale:

💧 When a wet-to-dry dressing sticks to the wound bed, the most beneficial intervention is to moisten it with normal saline.

💧This helps to loosen the dressing and reduce trauma to the wound tissue during removal, especially if debridement is not the immediate goal.

💧 Povidone iodine can be cytotoxic to healthy tissues and is not appropriate here.

💧 Pulling the dressing off dry can cause tissue damage and pain.

💧 Covering the old dressing with a new one does not address the problem of the stuck dressing and could increase infection risk.

Want to practice more questions like this?

This question is from ATI PN Custom Fundamentals CH 38 which contains 50 questions.

More Questions from This Exam
A nurse performing a right eye irrigation will position the patient:

Answer Choices:

A. Supine with the head tilted toward the right eye.
B. Upright with the head tilted toward the left eye.
C. Upright with the head hyperextended.
D. Supine with the head hyperextended.
While assessing the client's abdomen, you note that the Jackson-Pratt drain's reservoir is expanded and half full of blood. Which is the appropriate action for you to take at this time?

Answer Choices:

A. Leave it until the end of the shift.
B. Remove the drain.
C. Empty the reservoir.
D. Notify the surgeon about the blood loss.
The nurse is performing a dry sterile dressing change for an abdominal wound. The nurse should use a swab to clean:

Answer Choices:

A. From the left to the right across the wound.
B. From the outer abdomen toward the wound.
C. In a circular motion around the wound, circling to the outside.
D. Directly over the wound.
A nurse is collecting data on a client who has a stage 1 pressure injury. Which of the following findings should the nurse expect?

Answer Choices:

A. Full thickness skin loss with visible adipose tissue.
B. Full thickness skin loss with visible bone.
C. Intact skin with localized erythema.
D. Partial-thickness skin loss with red tissue in the wound bed.
When preparing to change a sterile dressing over an incision, it is most important to remember to:

Answer Choices:

A. Remind him to remain very still during the procedure.
B. Place a discard bag close to the wound.
C. Change gloves after removing the old dressing.
D. Refrain from talking while the wound is uncovered.
From Exam
ATI PN Custom Fundamentals CH 38

50 Questions

View Full Exam Start Practicing
Question Details
  • Category: LPN - Nursing Exam(s)
  • Subcategory: ATI Exams
  • Domain: FUNDAMENTALS OF NURSING PN
  • Answer Choices: 4
Was this question helpful?
0/5 average rating (0 votes)
Share your thoughts
Comments (0)