The nurse provides wound care to the client who has a Jackson-Pratt drain. Which does the nurse use to cleanse the drain site?
1. Work straight down in a proximal to distal direction.
2. Use a scrubbing motion over drain site and outward.
3. Work in circular motion from drain and move outward.
4. Use short, single strokes on either side of the drain site.
3
3. The nurse uses basic principles of infection control, works in a circular motion around the drain site, and moves from the clean area to the dirty area to avoid recontamination of cleansed skin.
1, 2, and 4. The nurse avoids cleansing in straight, proximal-distal strokes; scrubbing; and short, single strokes to prevent contamination of previously cleansed sites.
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A client is admitted from a long-term care facility to the acute care setting. The nurse notes the client's condition in the admission assessment. Potential indicators of elder abuse include: Standard Text: Select all that apply
1. Dry, cracked lips 2. Tenting of skin when skin turgor assessed 3. Signs of kyphosis 4. Presbycusis 5. Depression
In the past three to four decades, nursing has moved into the forefront in providing care for the dying. Which phenomenon has most contributed to this increased focus of care of the dying?
A) Increased incidence of infections and acute illnesses B) Increased focus of health care providers on disease prevention C) Larger numbers of people dying in hospital settings D) Demographic changes in the population
A husband/father who is disabled with chronic back pain has progressed with rehabilitation to being
able to do light household chores and care for his 5-year-old son. The wife/mother decides to attend a 2-year nursing program to provide income for the family. The husband tells everyone he is delighted with the decision, but shortly after his wife begins classes the husband finds his pain is so severe that he must return to being on bed rest and give up his household responsibilities. This scenario is an example of a. scapegoating. b. triangulation. c. placating. d. double-bind communication.
The nurse explains the blood-drawing process to the patient before performing it
1. To reduce liability because an uninformed patient may sue for malpractice. 2. To reduce patient anxiety and gain cooperation. 3. To give patients the opportunity to refuse treatment if they so choose. 4. To educate the patient so he can perform the procedure at home.