The nurse observes a patient demonstrating wound cleaning. What action indicates the need for further instruction?

a. Using sterile gloves to perform the cleaning
b. Applying an antiseptic to the area
c. Cleaning the area from the outside in
d. Washing hands with soap


ANS: C
Cleaning away from the wound prevents entrance of microorganisms.

Nursing

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A person with terminal cancer makes a call to a family member she has not spoken to in 30 years in order to make amends. According to Kübler-Ross, what stage of dying is this person in?

a. Denial b. Working c. Resistance d. Acceptance

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A client calls a prenatal clinic, stating, "I have nausea in the morning, I am late with my menstrual cycle, and I am feeling really fatigued." The nurse explains to the client that these symptoms are:

1. Subjective or presumptive signs of pregnancy, but not diagnostic. 2. Objective or probable signs of pregnancy, but not diagnostic. 3. Diagnostic or positive signs of pregnancy. 4. Signs of an ectopic pregnancy.

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Which situation represents a threat to internal validity in an experimental study measuring the effect of a videotape of discharge instructions for patients who underwent coronary artery bypass graft (CABG) surgery?

a. Both men and women undergoing CABG surgery were included as subjects in the study. b. Two new surgeons began performing CABG surgery during the study period. c. Patients in the experimental group discussed aspects of the videotape with patients in the control group. d. Data collection for the videotape and control groups took 1 year.

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Which instruction is most important to teach a patient using an aerosol inhaler with a spacer?

a. "Breathe in rapidly until the spacer makes a continuous whistling sound." b. "Seal your lips tightly around the spacer's mouthpiece." c. "Release both doses into the spacer before breathing in." d. "Avoid breathing back into the spacer."

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