When you change T.C.'s dressing, you note a large amount of bloody drainage coming from
the distal end of the wound. What other assessment do you need to obtain?
What will be an ideal response?
You would need to obtain T.C.'s VS; assess her peri-pad for bleeding and clots; auscultate heart, lung,
and bowel sounds; assess urine output; and inspect color and temperature of her skin.
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A parent is being taught about pancrelipase (Cotazym). What is the administration guideline for pancrelipase?
A) Give 1–3 tablets of pancrelipase after meals. B) Give 1–3 tablets of pancrelipase with snacks only. C) Give 1–3 tablets of pancrelipase with meals and snacks. D) Give 1–3 tablets of pancrelipase two times per day.
The nurse is caring for a patient who was just made NPO. The nurse is to administer carvedilol (Coreg) 25 mg PO to the patient for control of high blood pressure. What is the best action of the nurse?
a. Crush the medication and administer it to the patient mixed with applesauce. b. Administer the medication to the patient with a small sip of water. c. Contact the patient's physician to clarify the order. d. Administer the equivalent medication dose through the patient's IV.
A patient is to receive two different kinds of insulin. What is the nurse's most appropriate action?
a. Prepare the regular (clear) insulin first. b. Mix Lantus and Lente insulin in the same syringe. c. Administer the rapid-acting insulin within 30 minutes of a meal. d. Verify insulin dosage with another nurse after administration.
The nurse is collecting data from a client regarding past alcohol use history. What question will provide the greatest amount of information?
1. Are you a heavy drinker? 2. How often do you use alcohol? 3. Drinking doesn't cause any problems for you, does it? 4. Is alcohol use a concern for you?