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Question 48 (1.5 points) A patient has a swollen, weeping venous stasis ulcer on the medial aspect of their right ankle. The wound is covered with an appropriate dressing. What other treatment would be most appropriate to include when caring for this wound? Limit the patient's PO intake in an effort to decrease the patient's fluid volume and reduce swelling. Refer the patient to a surgeon to re-establish blood flow to the leg. Instruct the patient to use antibiotic ointment daily on the wound to keep it moist and clean. Elevate the leg and apply compression with an ACE bandage to reduce swelling,
Question 49 (1.5 points) A nurse is caring for a patient who is four days post-abdominal surgery. The wound was closed by primary intention, and the patient has a JP drain in place. Which of the following should the nurse expect to see when caring for the patient? The patient's wound will be packed with moist gauze. The patient's JP drain will be connected to low intermittent wall suction. The JP drainage will be purulent or serous-purulent. The edges of the patient's wound will be well-approximated.
Question 50 (1.5 points) A nurse has just completed a wound assessment and dressing change and has assisted the patient to a comfortable position. What should the nurse do next? Determine the extent of tunneling in the wound. Measure the length, width, and depth of the wound. Massage the healthy tissue around the wound to increase blood flow. Document the color, odor, amount, and type of wound drainage.