Author Question: When assessing a client with a hydrocolloid dressing, a nurse finds that there is the formation of a ... (Read 37 times)

SAVANNAHHOOPER23 · **on:** Jul 24, 2018

When assessing a client with a hydrocolloid dressing, a nurse finds that there is the formation of a soft, white-yellow gel that is adherent to the wound and that has a very slight odor. The nurse evaluates this outcome as:

A. An expected occurrence
B. A wound infection requiring a culture
C. An adverse reaction to the hydrocolloid components
D. Excessive exudate requiring a different type of dressing

Question 2

A decrease in the client's blood pressure is suspected if the client exhibits:

A. Headache
B. Flushing
C. Skin warmth
D. Dizziness

yasmina · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

A
A, B, C, and D. Hydrocolloid dressings interact with wound fluids and form a soft whitish-yellowish gel, which is hard to remove and may have a faint odor. These are normal occurrences and should not be confused with pus or purulent exudate, wound infection, or deterioration of the wound.

Answer to Question 2

D
D. Hypotension is associated with dizziness; mental confusion; restlessness; pale, dusky, or cyanotic skin and mucous membranes; cool, mottled skin over extremities.
A. In clients at risk for high blood pressure (HBP), assess for headache (usually occipital), flushing of face, nosebleed, and fatigue in older adults.
B. In clients at risk for HBP, assess for headache (usually occipital), flushing of face, nosebleed, and fatigue in older adults.
C. In clients at risk for HBP, assess for headache (usually occipital), flushing of face, nosebleed, and fatigue in older adults.