Her assessment findings are unremarkable and you place a new sterile dressing on the
wound. What will you do next?
What will be an ideal response?
Even though her assessment does not reveal any other signs of complications, you still need to
report the bleeding promptly to the physician and continue to monitor T.C. for any further bleeding.
Document the appearance of the wound, your assessment findings, and that you notified the
physician of what is occurring.
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The nurse is administering a bath to a hearing-impaired patient. The nurse should: (Select all that apply.)
a. speak very loudly into the patient's right ear. b. control background noise as much as possible. c. turn away when responding to a question. d. adjust the lighting in the room. e. be wary of consistent affirmative answers.
A patient is beginning to take a combination estrogen-progestin product as an oral contraceptive (OC). Which symptom(s), if verbalized, demonstrates that the patient has knowledge of the ad-verse effects associated with this drug?
a. Total loss of menses b. Reduced breast size c. Hypotension d. Hypertension
What would be the most appropriate goal for a frail, elderly patient with a nursing diagnosis of Risk for Injury after hip surgery?
a. Remain free from injury or falls throughout hospital stay. b. Increase activity tolerance by discharge from hospital. c. Demonstrate effective breathing when ambulating. d. Increase mobility by discharge from hospital.
A group of students are reviewing the structure and function of the skin in preparation for a test on the material. The students demonstrated understanding when they identify which layer as the outermost layer of the epidermis?
A) Stratum corneum B) Stratum lucidum C) Stratum granulosum D) Stratum germinativum