A diabetic client is being treated for a foot ulcer with warm compresses to the wound twice a day. The priority nursing action when applying the dressing is which of the following?
1. Elevate the foot to prevent edema.
2. Monitor the wound for bleeding.
3. Monitor the wound for exudate.
4. Monitor the client's response to prevent a burn.
4
Rationale: The diabetic has decreased perfusion to the wound and neurosensory impairment, which will reduce perception of heat. The nurse measures the temperature of the compress (90-105°F), and monitors the site frequently for signs of burn. Elevating the extremity will counteract the purpose of the compress and decrease blood flow to the wound. A compress is not likely to cause excess bleeding or exudate.
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The pneumococcal vaccine immunization
A) is also effective against influenza. B) is recommended for persons starting at age 65, including those persons without health problems. C) has no known contraindications. D) is recommended to be received on a yearly basis.
The increase in health-care-related knowledge has shifted education of health-care providers from a focus on ____________________ to a focus on ____________________
Fill in the blank with the appropriate word.
A nurse is admitting a client to a geriatric medicine unit following the client's recent diagnosis of acute renal failure. Which of the following nursing actions is most likely to reduce the client's chance of experiencing a fall while on the unit?
A) Orient the client to the room and environment thoroughly upon admission. B) Provide the client with a bedpan to reduce the need to transfer to a commode or washroom. C) Administer pain medications sparingly in order to minimize cognitive or musculoskeletal side effects. D) Place the client in a shared room with a client who is stable and oriented.
Why is the perspective of third-party payers and administrators an issue when cost–benefit analysis is performed?
a. Administrators do not focus equally on costs and benefits. b. Administrators are not experts in cost–benefit analyses. c. Administrators lack understanding of health care benefits used in such analyses. d. Administrators ignore the client perspective of time, energy, and money.