Which of the following injuries would result in a greater likelihood of internal organ damage and risk for infection?
a. A fall from a 6-foot ladder onto the grass
b. A shotgun wound to the abdomen
c. A knife wound to the right chest
d. A motor vehicle crash in which the driver hits the steering wheel
B
The penetrating injury of the gunshot wound would cause the greatest amount of injury because of the kinetic energy and dispersion pattern of the shotgun ammunition once it penetrated the body. A fall would cause a compression injury from the blunt force of the fall. The knife wound would cause a penetrating injury in which the magnitude of the injury would depend on damage to the vessels and lung. Blunt chest trauma that may include a cardiac contusion is possible following an injury in which the patient hits the steering column.
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Nonpharmacologic pain relief measures have been ineffective to reduce an older patient's pain to promote sleep. What should the nurse do next?
A) Provide a trial of opioids B) Give the strongest dosage of analgesic and gradually decrease as necessary C) Administer the lowest dosage of analgesic and gradually increase as necessary D) Offer the lowest dosage of analgesic and give only when requested by the patient
The patient is scheduled to begin treatment with a tocolytic medication. She asks the health care provider to explain the benefit of taking the medication. The health care provider should respond that the medication is designed to:
a. Hasten immediate delivery of the fetus. b. Delay onset of labor until 40 weeks' gestation. c. Delay premature fetal delivery until corticosteroids are given to the mother. d. Enable delivery of the fetus after fetal demise.
A patient has a prescription for topically
applied 5% fluorouracil (Efudex) cream as part of treatment for basal cell carcinoma on her cheek. Which instructions will the nurse provide to the patient? (Select all that apply.) a. "You must use gloves to apply this medication." b. "You can use clean fingertips to apply the cream, but be sure to wash your hands afterward." c. "You will need to stay out of the sun during therapy with this medication." d. "Apply this medication to the affected site once a day in the evening." e. "Apply this medication to the affected site twice daily." f. "You may have swelling, scaling, burning, and tenderness in the affected area."
While inspecting the bed of a patient's wound, the nurse notes that the tissue appears pale with cream-colored exudate. Which of the following do these findings suggest to the nurse?
1. normal healing 2. wound infection 3. necrotic wound 4. slough tissue with a poor blood supply