The nurse prepares to change the client's dressing over a surgical incision without drainage but palpates a ridge along the suture line. Which dry dressing should the nurse apply to this wound?
1. Foam pad
2. Wet-to-dry
3. Transparent film
4. Dry sterile gauze
4
4. The nurse uses dry sterile gauze dressing over the surgical incision because a non-draining incision with a healing ridge is consistent with clinical indicators of a prop-erly healing surgical incision. The nurse chooses this dressing because the incision needs protection.
1. The surgical incision has no drainage; thus, a foam pad dressing is contraindicated because it is intended for use with partial- to full-thickness wounds with moderate to heavy drainage.
2. A wet-to-dry dressing is contraindicated for use with a nondraining surgical inci-sion but is indicated for mechanical debridement of wounds.
3. Transparent film dressing is a reasonable choice to protect the wound because it is transparent; however, the nurse avoids choosing this dressing to cover a surgical in-cision because removing the dressing pulls on the fragile borders of the incision.
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A new public health nurse carefully assessed all the local mortality and morbidity data in preparation for making appropriate planning suggestions at a meeting next week. What other action is crucial before the nurse can feel prepared?
a. Ask other nursing staff their perceptions of the community's needs b. Assess the nurse's own assets, strengths, and ability to contribute c. Meet members of the community to determine their culture and values d. Review discussions and decisions from previous meetings
Which is a responsibility of the unit manager in fiscal planning?
A) To shelter staff from feeling a responsibility for achieving budgetary planning goals B) To monitor and evaluate all aspects of the unit's budget control C) To streamline the number of subordinates involved in the budgetary process D) To control unpredictable census variations that may undermine the personnel budget
The nurse explains that one of the few rheumatic joint diseases about which we know the infectious etiology is
a. ankylosing spondylitis. b. Lyme disease. c. rheumatoid arthritis. d. Sjögren's syndrome.
In assessing for potential problems, the nurse realizes that a leading cause of death in the young adult age group is suicide. Which of the following factors could indicate a problem in this area?
1. Decreased interest in work. 2. Weight loss. 3. Depression. 4. Brain dysfunction, including tumors. 5. Sleep disturbances.