Basic Care and Comfort NCLEX PN Questions Nursing Practice Question
A nurse assesses a 83 year-old female's venous ulcer for the second time that is located near the right medial malleolus. The wound is exhibiting purulent drainage and the patient has limited mobility in her home. Which of the options is the best course of action?
Correct Answer: A
Rationale: Encouraging warm water soaks can help cleanse the venous ulcer, promote circulation, and facilitate drainage, making it a beneficial intervention for managing the wound's condition.
Notifying the case manager of purulent drainage (Option B) is important, but immediate wound care is crucial for addressing the infection. Determining the patient's pulse in the right ankle (Option C) is relevant for assessing circulation but does not directly address the ulcer's purulence. Recommending increased activity (Option D) may not be feasible given the patient's limited mobility and could exacerbate the condition rather than improve it.