ATI LPN
Study Guide for Fundamentals of Nursing Care: Concepts, Connections & Skills
Chapter 26 : Wound Care Questions
Question 1 of 5
The drainage on the dressing over a patient's old IV site is clear and slightly yellow. This drainage is described as
Correct Answer: C
Rationale: Serous drainage is clear or slightly yellow fluid, often seen in healing wounds or minor injuries like an old IV site.
Question 2 of 5
During the inflammatory process, which of the following physiological responses occur?
Correct Answer: A,C,D,F
Rationale: During inflammation, capillaries dilate (erythema and warmth), leukocytes migrate to fight infection, red blood cells supply oxygen/nutrients, and edema causes pain. Leukocytes are not shunted away, and fluid does not prevent redness/pain.
Question 3 of 5
A patient with an open leg wound has the following laboratory results on his chart: WBC 15,350 mm^3 with an elevated percentage of neutrophils. What does this tell you about the patient's wound?
Correct Answer: B
Rationale: Elevated WBC and neutrophils indicate an active immune response, typically seen in acute infections, suggesting the wound is acutely infected.
Question 4 of 5
Which of the following orders would you expect the health-care provider to write after receiving laboratory results for the patient in Question 20?
Correct Answer: C
Rationale: A wound culture and sensitivity test is appropriate to identify the specific bacteria and effective antibiotics for an infected wound.
Question 5 of 5
The nurse realizes that the patient with a shoulder incision needs more teaching when the patient says
Correct Answer: D
Rationale: Antibiotics should be taken for the full prescribed course, not until staples are removed, indicating a need for further teaching.