Author Question: The nurse is changing a film dressing over a wound that is showing a large amount of drainage. How ... (Read 82 times)

shenderson6 · **on:** Jun 25, 2018

The nurse is changing a film dressing over a wound that is showing a large amount of drainage. How should the nurse proceed?

a. Apply a film dressing after culturing the wound.
b. Apply a film dressing after cleansing the area.
c. Choose another type of dressing for this wound.
d. Keep the wound open to air.

Question 2

While providing care for a postsurgical patient who has not received spinal anesthesia, the nurse recognizes that which position is required to maintain a patent airway in the recovery phase?

a. On his side with head facing down and neck slightly extended
b. On his side with head facing down and neck slightly flexed
c. On his back with hands over the chest
d. On his side with head facing up and neck slightly extended

marict · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

C
If the wound has a large amount of drainage, choose another dressing that can absorb this amount of wound drainage, rather than transparent film dressing, which can absorb only light to moderate amounts of drainage. Explain to the patient and family that collection of wound fluid under the dressing is not pus, but rather is a result of normal interaction of body fluids with the dressing.

Answer to Question 2

A
Position the patient on his side with head facing down and neck slightly extended. Extension prevents occlusion of the airway at the pharynx. A downward position of the head moves the tongue forward, and mucus or vomitus can drain out of the mouth, preventing aspiration. Never position the patient with hands over the chest (reduces chest expansion).