The nurse assesses the patient's pressure ulcer after 2 weeks of ambulatory wound care and observes pink tissue at the base of the wound. Which should the nurse implement?
a. Refer the patient to a dietitian to improve nutrition.
b. Alter the wound care to include a débrid-ing agent.
c. Collaborate with the healthcare provider for wound culture.
d. Recommend a hydrocolloid wound dress-ing.
D
Pink tissue in the wound base is consistent with clinical indicators of granulation tissue; thus the nurse recommends using a hydrocolloid dressing to maintain a moist environment and protect the wound base because a moist environment facilitates healing. The appearance of granulation tissue indicates that the patient's wound is healing. Unless the patient requests nutritional counseling, it is not indicated. The wound does not contain cellular debris or necrotic tissue; thus débridement is not indicated. The wound does not have clinical indicators of infection, which would include exudate and foul odor.
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The staff on a care area expresses dissatisfaction with participating in data collection of quality indicators. What should the manager explain as reasons to measure quality? (Select all that apply.)
1. Pay for performance 2. Public accountability 3. Determine staffing needs 4. Drive quality improvement 5. Inform consumer decisions
A nurse has held a media event to publicize the need for funding for immunizations and lobbied decision makers by providing pertinent statistical information about the risks and benefits of immunizations. The nurse is known as a
a. nurse citizen. b. nurse activist. c. nurse politician. d. nurse clinician.
The family of an older patient with hypothyroidism is concerned about the open wounds on the patient's legs and arms. How should the nurse respond to the family's questions about bathing?
1. "Use warm water to bathe the patient." 2. "Make sure she has a daily bath." 3. "Use firm, consistent strokes when bathing." 4. "Follow the bath with a rubbing-alcohol massage."
It is important for the nurse to understand strategies that promote a fiscally responsible clinical practice. From the following listing, select those strategies that would achieve a fiscally responsible clinical practice. (Select all that apply.)
a. Completes charge slips or scans bar code of nursing supplies used when changing a surgical dressing b. Participates in the annual hospital fund-raising activity c. Visits the Centers for Medicare & Medicaid Services to understand what services are provided during an inpatient visit d. Immediately reports any development of a patient medical complication to the health care provider e. Volunteers to participate in a hospital program initiative to reduce central line associated bloodstream infection (CLABSI) f. Completes a patient's discharge plan on the morning of discharge