The client's pressure ulcer has a moderate to heavy amount of drainage. Which type of dressing can the wound care nurse use on the ulcer? (Select all that apply.)
1. Foam
2. Gauze
3. Alginate
4. Hydrogel
5. Transparent
6. Strip packing
2, 3, 6
2 and 6. The nurse can use a gauze dressing or strip packing to fill the dead space and absorb the exudate. Both dressings are moistened for packing and become soaked with exudate at the dressing change.
3. The nurse uses an alginate dressing to absorb heavy wound drainage. Because the dressing is designed to increase in size, the nurse cuts the alginate to fit the wound, packs the wound loosely, and covers it with a secondary dressing and tape, allowing room for expansion.
1. Foam dressings are suitable for small-to-moderate amounts of wound drainage.
4. A hydrogel dressing is unsuitable for a wound with heavy drainage because it is designed for necrotic wounds to soften and remove dead tissue and to maintain a moist environment for the wound bed; however, maintaining a moist environment by retaining exudate is contraindicated because this increases the risk of infection sub-stantially.
5. Transparent dressings (such as Tegaderm) are designed for partial-thickness wounds with minimal exudate. These dressings allow little room for expansion.
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A nurse is discussing risk factors for postpartum shock with a childbirth preparation class. What will the nurse include in this education session? (Select all that apply.)
a. Hypertension b. Blood clotting disorders c. Anemia d. Infection e. Postpartum hemorrhage
Which statement describes aging in developing countries?
a. Aged dependence is likely to improve from 1:4 to 1:2. b. The biggest problem for older adults will be the lack of food. c. Most older adults are likely to reside in these countries. d. Similar to fertility, life expectancy is in-creasing, although at a different rate.
The population health nurse is working in a clinic whose clientele has existing liver disease. The nurse knows that these clients need which immunization?
1. Pneumococcal. 2. Meningococcal. 3. Varicella. 4. Rubella.
The nurse is admitting a client with a diagnosis of urinary tract infection. The physician has ordered an IV antibiotic. What is the priority prior to administering this medication?
1. Obtain a platelet count. 2. Obtain a urine specimen for culture and sensitivity. 3. Obtain a PTT. 4. Obtain a full set of vital signs.