The client has a clean stage II ulcer. Which should the nurse choose for a dressing?
1. Strip packing
2. Nonstick pads
3. Transparent film
4. Calcium alginate
3
3. Transparent film is a suitable dressing for the stage II ulcer because it is a par-tial-thickness with minimal exudate.
1 and 4. Strip packing and alginate dressings are unsuitable for a stage II ulcer be-cause it does not involve a deep crater suitable for filling with strip packing or algi-nate for absorption of moderate to heavy exudate.
2. Nonstick pads are suitable for abrasions so the dressing does not adhere to the wound.
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A patient is receiving radiotherapy for an overactive thyroid gland and asks whether her milk is safe for her baby. If her treatment cannot be discontinued, what should the nurse recommend?
A) Advise her that it is safe to breast-feed her baby. B) Recommend alternative medication that is compatible with breast-feeding. C) Provide her with reports that identify several categories of drugs and their potential to cause problems with breast-feeding. D) Advise her to discard her breast milk in a biohazard container, as it is unsafe for the baby.
You are helping a previously independent 85-year-old patient move into an assisted living situation after she experienced a hip fracture
She had wanted to return to her home where she lived alone, but reluctantly agreed to the assisted living facility after being pressured to do so by her daughter. a. Based on your understanding of the most common causes of falls in the elderly, what kinds of safety measures would you try to implement in her living environment? b. What factors might make this patient more susceptible to depression. What signs or symptoms would alert you to the possibility of depression?
When the caregiver is frustrated and complaining of being overwhelmed, the nurse can assist by (select all that apply):
1. taking over the care. 2. referring the caregiver to a support group. 3. seeking assistance from a home health agency. 4. listening to the caregiver's concerns. 5. assisting in making a daily schedule for the caregiver to follow.
According to Erikson, normal adolescent behavior includes trying on new roles and possibly even rebelling. What is the purpose of this behavior in adolescents?
A) To establish a sense of security B) To establish a sense of identity C) To gain autonomy D) To avoid inferiority