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 any break in the skin's surface, exposing underlying tissues. In contrast, a closed wound does not break the skin. A contusion is a bruise resulting from blunt force trauma, while a bruise specifically refers to discoloration of the skin due to broken blood vessels beneath the skin without breaking the skin itself. Therefore, in this scenario, the skin not being intact categorizes it as an open wound rather than a closed wound, contusion, or bruise.

Correct Answer: B

Rationale: The correct answer is B: Urinary tract infections. Hydration is important post total knee replacement to prevent UTIs due to immobility leading to urinary stasis. Myocardial infarctions are not directly related to fluid intake. Depression is managed through psychological support, not just fluids. Side effects of medication are not solely prevented by increased fluid intake.

Correct Answer: C

Rationale: The correct answer is C because reassuring the resident who is upset shows empathy and support, helping to calm them down. Telling the resident it is not real (A) may invalidate their experience. Saying they see the hallucination too (B) can worsen the situation. Laughing at the resident (D) is unprofessional and insensitive.

Correct Answer: B

Rationale: The correct answer is B: Soft or pureed. This is because individuals with AIDS and mouth infections may have difficulty swallowing or chewing due to pain and inflammation. Soft or pureed foods are easier to swallow and gentler on the mouth, promoting proper nutrition and reducing discomfort. Choice A (Spicy) is incorrect as spicy foods can aggravate mouth sores and cause discomfort. Choice C (Hot) is incorrect as hot foods can further irritate the mouth. Choice D (Acidic) is incorrect as acidic foods can also worsen mouth sores and lead to increased pain.

Correct Answer: B

Rationale: The correct answer is B: The chest drainage must be observed for amount and color. This statement is true because monitoring the amount and color of chest drainage is crucial in assessing the resident's condition, detecting any signs of bleeding or infection. It helps in determining the effectiveness of the chest tube in removing air or fluid from the pleural space. Incorrect choices: A: The drainage system must be kept above the level of the resident's chest - This is incorrect as the drainage system should be kept below the level of the resident's chest to facilitate drainage. C: The tubing should be kinked - Kinking the tubing can obstruct the flow of drainage, which is harmful. D: Chest tubes will only be in the front of the body - Chest tubes can be placed in various locations depending on the specific condition being treated, not just in the front of the body.