Editing Nursing Skills and Procedures – LPN Practice Questions (section)

==Question 15==
A licensed practical nurse is reinforcing teaching for a client who will perform dressing changes at home. Which client statements require further teaching? '''Select all that apply.'''
# "I will call the clinic if the drainage turns thick and yellow green or starts to smell bad."
# "If the old dressing sticks, I will pull it off quickly to get it over with."
# "I will wash my hands before and after I change the dressing."
# "I will pack the wound as tightly as I can so it heals faster."
# "I will write the date and time on the new dressing."

'''Answer:''' 2 and 4 (B, D).

''Rationale:'' A stuck dressing is moistened with sterile normal saline and removed gently, because pulling it off tears away new granulation tissue and causes pain and bleeding. Packing is placed loosely, since tight packing raises pressure in the wound bed, impairs perfusion, and delays healing. Options 1, 3, and 5 are all correct: purulent or malodorous drainage suggests infection and warrants a call, hand hygiene is the primary infection control measure, and labeling the dressing documents when it was changed.

[[Category:Nursing Skills and Procedures]]
[[Category:Licensed Practical Nurse (NCLEX-PN)]]
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