Nclex 10000 Integumentary Disorders Already Passed

A nurse is providing care for a client who has a sacral pressure ulcer with a wet-to-damp dressing. Which guideline is appropriate for a wet-to-damp dressing? a) The wet-to-damp dressing should be tightly packed into the wound. b) A plastic sheet-type dressing should cover the wet dressing. c) The dressing should be allowed to dry out before removal. d) The dressing should keep the wound moist. {Ans: The dressing should keep the wound moist. Correct Explanation: A wet-to-damp saline dressing should always keep the wound moist}A client presents with blistering wounds caused by an unknown chemical agent. How should the nurse intervene? a) Wash the wounds with soap and water and apply a barrier cream. b) Do nothing until the chemical agent is identified. c) Irrigate the wounds with water. d) Insert a 20-gauge I.V. catheter and infuse normal saline solution at 150 ml/hour. {Ans: rrigate the wounds with water. Explanation: The nurse should begin treatment by irrigating the wounds with water. Delaying treatment until the agent is identified allows the agent to cause further tissue damage.}When assessing an elderly client, a nurse on the day shift notes redness in the sacral region. Close assessment reveals small breaks