Before applying a new, dry dressing to a client's surgical incision, the nurse should remove and discard the current dressing with gloved hands and then:
a. cleanse the skin around the incision with hydrogen peroxide
b. remove soiled gloves and apply clean gloves before proceeding
c. notify the health care provider if any irritation is evident
d. apply a new dressing
B
When changing a dry dressing, apply clean gloves when removing the soiled dressing, remove gloves, cleanse hands, and apply clean gloves before apply new dressing.
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When auscultating the anterior thorax of a pregnant woman, the nurse notices the presence of a murmur over the second, third, and fourth intercostal spaces. The murmur is continuous but can be obliterated by pressure with the stethoscope
or finger on the thorax just lateral to the murmur. The nurse interprets this finding to be: a. Murmur of aortic stenosis. b. Most likely a mammary souffle. c. Associated with aortic insufficiency. d. Indication of a patent ductus arteriosus.
A 72-year-old man is being treated with doxazosin (Cardura) for his BPH. What nursing diagnosis would be important to include in this patient's plan of care?
A) Sexual dysfunction B) Chronic pain C) Disturbed sensory perception D) Risk of impaired urinary elimination
You are packing a patient's abdominal wound with sterile, half-inch Iodoform gauze. You drop some of the gauze onto the patient's abdomen 2 inches (5 cm) away from the wound. What should you do?
A) Apply povidone-iodine (Betadine) to that section of the gauze and continue packing the wound. B) Pick up the gauze and continue packing the wound after irrigating the abdominal wound with Betadine solution. C) Continue packing the wound and inform the physician that an antibiotic is needed. D) Discard the gauze packing and repack the wound with new Iodoform gauze.
Which of the following interventions would be beneficial for a client who is demonstrating stress associated with an illness and having to care for a family at home?
1. Ask the client if there is anyone who would be able to help with the family needs at home while she is recuperating 2. Suggest the client be transferred to a long-term care facility to ensure a full recovery 3. Find out if the children can be sent to a grandparent's home until the client fully recovers 4. Ask the client if there is anything that she needs once she returns to home