The patient has a large, deep wound on the sacral region. The nurse correctly packs the wound by:
a. filling two thirds of the wound cavity.
b. leaving saline-soaked folded gauze squares in place.
c. putting the dressing in very tightly.
d. extending only to the upper edge of the wound.
D
Apply moist, fine-mesh, open-weave gauze as a single layer directly onto the wound surface. If the wound is deep, gently pack the gauze into the wound with a sterile gloved hand or forceps until all wound surfaces are in contact with the moist gauze. Be sure that the gauze does not touch periwound skin. Moisture that escapes the dressing often macerates the periwound area. The gauze should be saturated with the prescribed solution, wrung out, unfolded, and lightly packed into the wound. Overpacking the wound may cause pressure on tissue in the wound bed.
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When completing a measurement of the patient's visual acuity, which of the following would be appropriate?
a. Snellen chart c. penlight b. visual field d. ophthalmoscope
The nurse is providing care to a pediatric client who is experiencing separation anxiety. Which data would support the documentation of the "despair" phase?
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In the figure, thermometer A reads temperature on the ________ scale.
Fill in the blank(s) with the appropriate word(s).