The home health nurse, in the home to change a decubitus dressing, notices that the wound has a musky odor and is weepier than the last visit, 2 days ago. Prioritize these nursing in-terventions for this situation:
1. Contact the case manager.
2. Assess the patient's entire skin, vital signs, and be prepared to describe the wound findings.
3. Cleanse the decubitus area well and redress the wound.
4. Chart the appearance of the decubitus completely.
5. Assess the client's mobility.
2, 3, 5, 4, 1
The decubitus finding is important to communicate to the case manager but not until the nurse at the bedside has fully assessed the patient, signs and symptoms, vital signs, and oth-er areas of change that need to be communicated promptly. Then, the case manager will be able to give directions for further care.
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A client has a nursing diagnosis of Knowledge deficit (insulin injection technique) related to misinterpretation of information as evidenced by inaccurate return demonstration of self-injection
After several teaching sessions the client can self-inject insulin correctly and confidently. This nursing diagnosis is removed from the plan of care and others are addressed. What type of planning is this called? a. discharge c. initial b. goal d. ongoing
During labor, a vaginal examination should be performed only when necessary because of the risk of:
a. Fetal injury. b. Discomfort. c. Infection. d. Perineal trauma.
You and other nurses in your organization have decided to use a collective bargaining method that is used in the workplace, commonly known as:
a. workplace advocacy. c. collective brainstorming. b. unionization. d. collective striking.
Of the following countries, which is referred to as a lesser-developed country?
a. France b. Japan c. Indonesia d. Sweden