The nurse is removing every other staple from a surgical wound, which has been closed with 15 staples. If the wound begins to separate after removal of 3 of the 15 staples, the nurse should:
a. remove 7 more alternate staples and securely tape with Steri-Strips.
b. cover with moist dressing and apply a binder.
c. continue to remove staples as ordered because this is an expected outcome.
d. leave the 12 staples in place and record the separation.
D
If the wound separates during the removal of staples, cease the removal, cover with a dry dressing, and record the separation.
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A patient comes to the oncology clinic and is assigned a "nurse navigator." The patient asks, "What is a nurse navigator?" How should the nurse respond?
A. "The nurse navigator makes sure that patients keep their appointments." B. "The nurse navigator oversees the treatment plan created by the team." C. "The nurse navigator gives directions to the various clinics." D. "The nurse navigator ensures that you get your medications from the pharmacy."
The nurse educates the staff of a residential home about an upcoming influenza season. Which of the following should the nurse include in the presentation?
A) Antibiotics are an effective treatment for influenza. B) Hand hygiene is one of the most important ways to prevent the spread of infections. C) Infection control practices increase the risks of transmission of influenza. D) The influenza vaccination is not recommended for persons over the age of 64.
The nurse is completing a plan of care on a postoperative craniotomy patient with a diagnosis of risk for imbalanced fluid volume related to osmotic diuretic use
An appropriate intervention for this diagnosis would consist of which of the following? A) Changing the patient's position as indicated B) Monitoring serum electrolytes C) Maintaining NPO status D) Monitoring arterial blood gas (ABG) values
After an assessment, the nurse determines that a client's sequential compression devices need to be removed. What will the nurse document about this client's status in the medical record?
1. Client ambulating without assistance. 2. Client complains of numbness, tingling, and leg pain with the sequential compression devices. 3. Client requested devices to be removed. 4. Client to wear sequential compression devices during sleep.