The nurse, using the RYB wound classification system, would document that a client has a black wound when the wound:
a. is a traumatic wound soiled with dirt and grime.
b. contains necrotic tissue.
c. is in the proliferative phase of wound repair.
d. is infected with purulent exudates.
Question 2
The nurse, caring for an elderly postoperative client with rheumatoid arthritis, is concerned about wound healing. Which of the following would be a priority intervention for this client?
a. Make sure the client gets plenty of IV fluids to prevent dehydration.
b. Medicate the client for pain around the clock to increase her ability to move.
c. Order a dietary consult and monitor the client closely for signs of infection.
d. Monitor the client's vital signs closely for signs of hypotension.