According to the National Association of Orthopaedic Nurses (NAON), which of the following is possibly the most effective cleansing solution for pin-site care?
a. Normal saline
b. Hydrogen peroxide
c. Chlorhexidine
d. None of the above
C
The second group to develop clinical practice guidelines is the United States–based NAON, which indicated that chlorhexidine 2 mg/mL solution is possibly the most effective cleansing solution for pin-site care. A British consensus group of orthopedic nurse experts recommends that pin sites be cleaned only with sterile normal saline or water to remove crusts around the pins (Walker, 2007). Walker found no definitive evidence to support a pin-site dressing containing an antimicrobial agent. Several studies have found that although hydrogen peroxide is a common cleansing agent, it may cause damage to the healthy tissue surrounding the pin.
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The nurse is providing care to a pediatric patient who has orders for Crutchfield tongs. Which diagnosis does the nurse anticipate prior to reviewing the patient's medical record?
A. Dislocated hip B. Femur fracture C. Osteopenia D. Spinal fracture
If a nurse infantilizes the client, the nurse is not adhering to which of the following guidelines for rehabilitative nursing?
A) Prevent complications. B) Do not equate physical disability with mental disability. C) Provide time and flexibility. D) Recognize and praise accomplishments.
A restaurant patron sitting at the next table begins to choke. The patron yells, "I'm choking! I can't breathe!" The first responder should:
a. initiate the Heimlich maneuver imme-diately. b. strike the victim sharply between the sca-pulae. c. encourage him to keep coughing and deep breathe. d. offer him a small sip of fluid.
Continual assessment, care management and interventions that may require clinical skills such as cardiac monitoring, ECG interpretation, airway management, fluid resuscitation and haemodynamicmonitoring are referred to as:
a. primary care. b. secondary care. c. tertiary care. d. none of the above.