A client comes to the emergency department following an injury. ...

[ssal]

A client comes to the emergency department following an injury. The nurse implements ap-propriate first aid for the client when:
 
  1. Removing any penetrating objects
  2. Elevating an affected part that is bleeding
  3. Vigorously cleaning areas of abrasion or laceration
  4. Keeping any puncture wounds from bleeding

Question 2

Upon inspection of the client's wound, the nurse notes that it appears infected and has a large amount of exudate. An appropriate dressing for the nurse to select based on the wound assess-ment is:
 
  1. Foam
  2. Hydrogel
  3. Hydrocolloid
  4. Transparent film

[vkodali]

Answer to Question 1

ANS: 2
If a client is bleeding, the nurse applies direct pressure and elevates the affected part. When a penetrating object is present, it is not removed. Removal could cause massive, uncontrolled bleeding. Vigorous cleaning can cause bleeding or further injury. Abrasions and minor lacerations should be rinsed with normal saline and lightly covered with a dressing. Puncture wounds are allowed to bleed to remove dirt and other contaminants.

Answer to Question 2

ANS: 1
A foam dressing absorbs exudate and debris while maintaining a moist environment. Topical agents, such as antibiotic ointment, may also be used with a foam dressing. This would be the most appropriate type of dressing for this wound. A hydrogel dressing provides moisture to a clean granular wound. A hydrocolloid dressing interacts with the wound fluid to provide a moist environment. Transparent film protects from friction injury and may be left in place up to 7 days.

[ssal]

Thank you!

[vkodali]

Always glad to help...