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Chapter 32: Problem 2

Which term would the nurse use to document wound drainage that is thick, odorous, and green? a. Serous b. Sanguineous c. Serosanguineous d. Purulent

Short Answer

Expert verified
The nurse would use 'purulent' to document the wound drainage described.

Step by step solution

01

Understanding Serous Drainage

Serous drainage is clear, thin, and watery. It is typically seen in normal healing wounds and is similar to the fluid found in blisters.
02

Recognizing Sanguineous Drainage

Sanguineous drainage is bright red and indicates fresh bleeding. It is often thick and may be seen in wounds that are undergoing significant healing.
03

Identifying Serosanguineous Drainage

Serosanguineous drainage is a mix of serous and sanguineous. It is pink, watery, and thin, showing signs of both minimal blood and serum presence, typical in wounds healing properly.
04

Definition of Purulent Drainage

Purulent drainage is characterized by being thick, opaque, and can vary in color from yellow to green to brown. It also often has an unpleasant odor and is commonly associated with infections.
05

Match the Characteristics

The question asks for drainage that is thick, odorous, and green. Among the options, purulent drainage matches this description precisely as it fits the characteristics of being thick, malodorous, and potentially green due to infection.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Wound Care
Wound care is an essential part of nursing practice, focusing on the management and treatment of wounds to ensure proper healing.
Good wound care includes cleaning, protecting, and observing the wound for signs of healing or complications. There are several steps critical to effective wound care:
  • Initial assessment of the wound's size, depth, and condition
  • Cleaning the wound with appropriate solutions to remove debris and bacteria
  • Applying suitable dressings to protect the wound and support healing
  • Monitoring for signs of infection, such as redness, swelling, or increased pain
  • Regularly documenting the wound's progress, condition, and any changes in drainage or appearance
By following these steps, nurses can help patients recover more quickly and avoid complications.
Infection Identification
Infection identification in wound care is crucial for ensuring timely and appropriate interventions. Observing for signs of infection allows healthcare professionals to act promptly, reducing complications and improving outcomes.
Common signs of wound infection include:
  • Increased redness and warmth around the wound
  • Swelling and tenderness
  • Foul or unpleasant odor from the wound
  • Changes in wound drainage, particularly increased amounts of pus
  • Fever or the patient feeling unwell
Early identification and treatment of infections can prevent worse complications. Treatment may involve antibiotics or additional wound care practices.
Purulent Drainage
Purulent drainage is a key indicator of infection in a wound. This type of drainage is characterized by its thick consistency and ranges in color from white to yellow or green. Its presence suggests that the body's immune system is actively working to combat an infection.

Key characteristics of purulent drainage include:
  • Thick and opaque consistency
  • Color variation from white to yellow, green, or brown
  • Often accompanied by a foul odor
  • Increased presence indicates a possible infection requiring medical attention
Nurses documenting purulent drainage must be specific about the characteristics, as this information is valuable for diagnosing and treating infections.
Nursing Terminology
Nursing terminology is essential for accurate documentation and communication within healthcare settings. Consistent terminology helps ensure all team members understand patient conditions and interventions used.
Effective nursing documentation includes:
  • Clear, concise, and accurate description of patient status
  • Use of standardized terms to describe symptoms, treatments, and patient responses
  • Detailed recording of any changes in patient condition
  • Consistent use of terminology to avoid misunderstandings
This use of standardized language is especially important when documenting wound characteristics. For example, using terms like purulent, serous, or sanguineous allows precise communication about wound drainage types, facilitating appropriate care.

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Most popular questions from this chapter

An older confused patient sits and slumps in her chair most of the day. She is most likely to develop a pressure ulcer because of what factor? a. Malnutrition b. Shearing forces c. Edema d. A chronic disease

Which action would be a priority in preventing a patient from developing a pressure ulcer? a. Using waterproof material on the bed b. Massaging any reddened area frequently c. Using an air-inflated ring to relieve pressure on areas d. Using a mild cleansing agent when cleansing the skin

A patient who has a large abdominal wound suddenly calls out for help because she feels as though something is falling out of her incision. Inspection reveals a gaping open wound with tissue bulging outward. In which order should the nurse perform the following interventions? (Arrange from first to last.) a. Notify the physician immediately of the situation. b. Cover the exposed tissue with sterile towels moistened with sterile NSS c. Place the patient in the low Fowler's position

Thirty-six hours after having surgery, a patient has a slightly elevated body temperature and generalized malaise, as well as pain and redness at the surgical site. Which intervention is most important to include in this patient's nursing care plan? a. Document the findings and continue to monitor the patient. b. Administer antipyretics, as ordered. c. Increase the frequency of assessment to every hour and notify the patient's physician. d. Increase the frequency of wound care and contact the physician for an antibiotic order.

The nurse is performing a sterile irrigation of an open abdominal wound. Which intervention should be done first? a. Direct a stream of solution into the wound. b. Position the patient so the irrigation solution will flow from clean to dirty. c. Assess the wound and surrounding tissue. d. Put on sterile gloves.
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