The nurse admits a client with a large open leg wound from a motor vehicle crash. While obtaining the history from this client, the nurse inquired about the use of medications. The client stated he had just completed a course of steroid therapy
The nurse knows the steroids will: 1. Delay wound healing.
2. Assist in wound healing.
3. Cause an increase in the tendency to bleed.
4. Cause a decrease in the tendency to bleed.
Delay wound healing.
Rationale: Steroids suppress the inflammatory phase and thus contribute to a delay in wound healing. Chronic use of steroids specifically results in decreased production of histamines, which are needed for the inflammatory response. Steroids do not assist in wound healing, they delay it. There is no specific impact from steroids on bleeding or clotting.
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A patient is prescribed an immunosuppressive agent. Which statement indicates the patient needs additional instruction from the nurse about this drug?
1. "I should drink a lot of fruit juices, such as grapefruit juice." 2. "I know to call the physician if I start experiencing a lot of bruising." 3. "I should drink plenty of water to keep from getting dehydrated." 4. "If I experience any joint pain, I should take ibuprofen for the pain as needed every 4 hours."
A 40-year-old nurse is taking a health history from a 20-year-old Hispanic man and notes that he looks down at the floor when he answers questions. What should the nurse understand about this behavior?
A) The patient is embarrassed by the questions. B) This is culturally appropriate behavior. C) The patient dislikes the nurse. D) The patient does not understand what is being asked.
A new graduate is interviewing for a nursing position. The nurse recruiter begins to ask the graduate a number of questions. The graduate recognizes that the nurse recruiter can legally ask about which of the following?
a. citizenship c. cultural heritage b. career goals d. medical history
Erikson's psychosocial theory of development differed from Freud's ideas of development in that Erikson viewed:
a. children as being controlled by caregivers and society with little room for exploring the environment on their own b. children as being controlled by the superego and being afraid to displease the caregivers c. humans as rational creatures with the ego--rather than the id, superego, or conflicts--controlling thoughts, feelings, and actions d. children as having no sexual interests or conflicts of any kind, with this issue not arising until young adulthood