After checking the health care provider's order for a client's wound irrigation, the nurse should:
a. prepare the sterile irrigation tray and dressing supplies and warm irrigating solution in a microwave
b. prepare the irrigating solution and flush from about 2 inches above the wound
c. prepare the sterile irrigation tray and dressing supplies and pour room-temperature solution into the sterile container
d. flush the wound with saline and then prepare to culture the wound before irrigating it
C
When performing wound irrigation, prepare the sterile irrigation tray and dressing supplies and pour room-temperature solution into the sterile container. This maintains the sterility of the procedure.
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Which of the below are nursing diagnoses for a client with respiratory acidosis? (Select all that apply.)
a. ineffective breathing pattern b. deficient knowledge c. acute confusion d. ineffective peripheral tissue perfusion e. impaired gas exchange
The nurse is teaching a client with herpes simplex virus (HSV) type 2 appropriate methods to prevent further spread of the virus while lesions are present. The nurse stresses that clients should
a. apply warm soaks to the lesions. b. complete antibiotic therapy. c. maintain separate towels and other personal items. d. stop using condoms because they are irritating.
The nurse would explain to a client that an exercise ECG is useful as one means of detecting
a. cardiac dysrhythmias. b. coronary artery disease. c. heart failure. d. valvular disorders.
A nursing educator is explaining how the best clinical practices are determined. Which statement best explains the purpose of evidence-based practice?
a. It ensures that all patients receive holistic care. b. It provides a definite reason for providing care in a specific manner. c. It prevents errors when care is being deli-vered. d. It guarantees that care delivered is based on research.