The nurse is changing the dressing on a postoperative client's abdominal incision. A Jackson-Pratt (JP) drain is present, along with a moderate amount of serosanguineous drainage
What is the best product for the nurse to use in performing wound care? a. Half hydrogen peroxide and half sterile saline
b. Sterile water and antibacterial ointment
c. Betadine swabs or alcohol wipes
d. Sterile normal saline
D
Sterile saline should be used to clean wounds because it is not harmful to granulating tissues. Hydrogen peroxide, Betadine, and alcohol are all harmful to new tissue. Sterile water is not iso-tonic so is not recommended. The incision should be cleaned from the least contaminated area to the most contaminated area, from inside the incision toward the surrounding skin.
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When assessing a newly admitted pregnant patient, the nurse identifies a history of rheumatic heart disease. To prevent further stress on the heart, the nurse anticipates a protocol of:
a. potassium. b. calcium. c. zinc. d. iron.
Which of the following is an aspect or dimension of the interpretive task? Select all that apply
A) The accuracy or credibility of the results B) The meaning of the results C) The vigor of the results D) The implications of the results
The nurse is discussing the risk of poisoning with the mother of two toddlers and a preschool child. Which statement made by the mother indicates a need for more teaching by the nurse?
a. I keep all medicines and chemicals in a locked cabinet. b. The children take their medicine well when I tell them it is candy. c. I have syrup of ipecac just in case anything does happen. d. I always get child-resistant containers.
The nurse is working with a 3-year-old child in Bryant's traction for a fractured femur. A pain assessment scale such as the Oucher Scale can be useful to the nurse caring for this child because use of a pain assessment scale
1. provides continuity and consistencyin assessing and monitoring the child's pain. 2. decreases anxiety in the child. 3. increases the child's comfort level. 4. reduces the child's fear of painfulprocedures.