The nurse who is current on wound care research would consider which product to be antimicrobial when used in wound dressings?
1. Normal saline
2. Tap water
3. Topical gold
4. Topical silver
4
Rationale 1: Normal saline is used to cleanse wounds but is not antimicrobial.
Rationale 2: Tap water can be used to cleanse some wounds but is not antimicrobial.
Rationale 3: Gold is not a wound care product.
Rationale 4: Silver is a product that has come into wide use as a local antimicrobial agent. Its use continues to be a topic of research.
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In order to plan for the care of a client on an acetylcholinesterase inhibitor, the nurse should assess for which of the following?
1. Level of depression 2. Memory impairment 3. Blood pressure 4. Mania
The nurse is assessing a 13-year-old girl. Which of the following events would the nurse expect to have occurred first?
A) Evidence of pubic hair B) Development of breast buds C) Onset of menses D) Growth spurt
A patient with diabetes who refuses to change eating patterns may be in which stage of adjustment?
a. Denial and disbelief b. Irritability and anger c. Attempting to gain control d. Acceptance and participation
Jerome is a young adult who is admitted to your medical unit for possible alcohol poisoning. He has an IV for hydration and has been in and out of consciousness. His wife has just arrived
He awakens, notices the IV, and sees the nurse speaking with his wife. Jerome pulls out his IV, attempts to get out of bed, and begins shouting, "Get me out of here. I am just fine. I don't belong in this place!" The nurse realizes this behavior is an example of: A) Compensation B) Intellectualization C) Regression D) Denial