On inspection of the client's wound, the nurse notes that it ...

[ARLKQ]

On inspection of the client's wound, the nurse notes that it appears infected and has a large amount of exudate. Which of the following is an appropriate dressing for the nurse to select based on this wound assessment?
 
  a. Foam
  b. Hydrogel
  c. Hydrocolloid
  d. Transparent film

Question 2

A nurse is teaching an older adult patient about strokes. Which teaching technique is most appropriate for the nurse to use?
 
  a. Use a pamphlet about strokes with large font in blues and greens.
  b. Speak in a high tone of voice to describe strokes.
  c. Begin and end each teaching session with the most important information about strokes.
  d. Provide specific information about strokes in frequent, large amounts.

[jojobee318]

Answer to Question 1

A
Foam dressings are useful for wounds with large amounts of drainage or to assist with autolytic debridement since they can be left on up to seven days. This would be the most appropriate type of dressing for this wound.
A hydrogel dressing donates moisture to the wound bed. This type of dressing hydrates the wound and absorbs some smaller amounts of exudates and would not be appropriate for a wound with a large amount of exudate.
A hydrocolloid dressing is adhesive and occlusive. This type of dressing supports healing in clean, granulating wounds, and is most useful on shallow to moderately deep wounds. It should not be used in heavily draining wounds or full thickness or infected wounds.
Transparent film traps the wound's moisture over the wound, providing a moist environment. It is used for small, superficial wounds. Transparent film is not appropriate for a large amount of exudates.

Answer to Question 2

C
Begin and end each teaching session with the most important information when teaching older adult patients. Also, if using written material, assess the patient's ability to read and use information that is printed in large type and in a color that contrasts highly with the background (e.g., black 14-point print on buff-colored paper). Avoid blues and greens because they are more difficult to see. Speak in a low tone of voice (lower tones are easier to hear than higher tones). Provide specific information in frequent, small (not large) amounts for older adult patients.