While changing a client's dressing, the nurse notes thick yellow-green drainage on the gauze. How should the nurse document this wound's drainage?
1. Purulent
2. Serous
3. Sanguineous
4. Serosanguinous
Correct Answer: 1
Rationale 1: Purulent exudate is thick, and can vary in color, including green and yellow.
Rationale 2: Serous drainage appears watery.
Rationale 3: Sanguineous drainage is red because of the high number of red blood cells.
Rationale 4: Serosanguinous drainage is watery with red blood cells.
You might also like to view...
A candidate who is taking the NCLEX-RN® exam received only 75 questions before the test was stopped
She called her professor and stated, "I passed. I had to answer only 75 questions." The professor correctly responds by saying: a. "You are now officially licensed; you answered the more difficult questions correctly." b. "It is possible to receive only 75 questions and not be successful; however, we will keep a positive attitude." c. "If you were given only 75 questions, you will have to retest because this is not enough to determine competency." d. "You must have been extremely close to the passing standard because the computer shut off."
The nurse is teaching a class of new mothers how to provide care for their babies' cord and genitals. Which of the following is a recommended guideline for this care?
A) Do not use alcohol to swab the stump during diaper change. B) When bathing the infant, submerge the cord and clean with soap and water. C) For a female baby, clean folds of the labia wiping from back to front. D) For a male baby, stretch the foreskin over the glans penis for cleaning once a day.
A nurse is assessing the wound in the left arm of a client. The wound, caused by a motor
vehicle accident, has torn, ragged edges. How should the nurse document the wound? A) Incision B) Abrasion C) Laceration D) Puncture
The client has just returned from a cerebral angiography. Which symptom does the client display that causes the nurse to act immediately?
A. Bleeding B. Increased temperature C. Severe headache D. Urge to void