Skin that is not intact is considered a(n)

Correct Answer: A

Rationale: The correct answer is A: Open wound. An open wound refers to a break in the skin, exposing underlying tissues to the external environment. This is different from a closed wound (B) where the skin is intact. A contusion (C) is a bruise without a break in the skin, while a bruise (D) is a type of closed wound characterized by discoloration due to blood pooling under the skin. Therefore, in this scenario, the presence of skin not intact indicates an open wound, making choice A the correct option.

Correct Answer: B

Rationale: The correct answer is B: Urinary tract infections. Adequate fluid intake post total knee replacement helps prevent UTIs by flushing out bacteria from the urinary tract. Myocardial infarctions are not directly related to fluid intake. Depression is not prevented by fluid intake. Side effects of medication are not specifically prevented by encouraging fluids.

Correct Answer: C

Rationale: The correct answer is C: Reassure the resident who is upset. This response acknowledges the resident's feelings and provides comfort and support, helping to reduce their distress. Telling the resident it is not real (A) may invalidate their experience. Saying they see the hallucination too (B) can exacerbate the situation. Laughing at the resident (D) is highly inappropriate and disrespectful.

Correct Answer: B

Rationale: The correct answer is B: Soft or pureed. AIDS patients with mouth infections may have difficulty chewing or swallowing due to pain or sores. Soft or pureed foods are easier to eat and less likely to irritate the mouth. Spicy (A), hot (C), and acidic (D) foods can aggravate mouth sores and cause discomfort, making them unsuitable choices for someone with an oral infection. Providing soft or pureed foods ensures the patient can still receive necessary nutrition without worsening their condition.

Correct Answer: B

Rationale: The correct answer is B because observing the amount and color of chest drainage is crucial to monitor the resident's condition and detect any complications. Changes in amount or color can indicate bleeding, infection, or other issues. This helps in assessing the effectiveness of the chest tube and determining the need for any interventions. A is incorrect because the drainage system should be kept below the level of the resident's chest to facilitate drainage. C is incorrect as tubing should never be kinked as it can obstruct the flow of drainage, leading to complications. D is incorrect as chest tubes can be placed in various locations, not just in the front of the body.