An appropriate principle of wound irrigation that a nurse can apply is:
A. Moving from infected to healthy tissue
B. Using clean irrigation solutions
C. Cleaning from the least to the most contaminated area
D. Moving toward and cleaning the suture line last
C
C. When irrigating a wound, be sure that the flow of irrigation moves from the area being cleansed to an area that is both distal to it and lower. In wound care the area being cleansed is considered "clean" and the surrounding skin surfaces are considered "contaminated" without respect to whether the wound is infected. Within the wound the irrigation flow is directed from healthy tissue toward infected tissue.
A. Within the wound the irrigation flow is directed from healthy tissue toward infected tissue.
B. Irrigating solutions are sterile.
D. The suture line is the "least contaminated" area and is always cleansed first.
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The nurse is administering medications to a patient with high blood pressure. The patient states, "This pill made me so sick yesterday. Are you sure I have to take it now?" The nurse should:
a. give the medication because no one gets sick on this pill. b. hold the medication and check the order since there may be a lack of information. c. give the medication since he/she is the nurse and knows what should be done. d. give the medication since the nurse did not see the doctor come so the order is valid.
A patient asks a nurse to explain pharmacogenetics. Which response by the nurse is best?
a. "It is the effect of pharmaceutical agents on a person's genes." b. "It uses genetic information to determine if particular drugs will work in a person." c. "It is the science of using a person's genes to help create new medications." d. "It was the project that mapped and sequenced human genes."
Nurses working on an orthopedic unit use personal digital assistants (PDAs) to review medications prior to administration to reduce potential drug interactions
Software is also installed that provides video clips of common procedures performed by nurses. Nurses on this unit are best demonstrating which QSEN competencies? a. Patient-centered care b. Informatics c. Teamwork d. Quality improvement
The nurse manager of an ICU wants to implement the revised policy and procedure on central line catheter care. What would be the most effective method of getting the staff nurses to incorporate a new evidence-based practice into their care?
a. Conducting an interactive educational workshop b. Distributing educational materials on clinical units c. Sharing the results of a chart audit with staff d. Providing staff with a short DVD on the topic