A committee of musculoskeletal care nurses has been meeting to formulate policy changes regarding the proper method for providing pin site care. Based on current research findings, the nurses come to which conclusion?
1. The critical period for infection control measures is up to 48 hours out from pin insertion.
2. Pins located in areas of considerable soft tissue are at lowest risk for infection.
3. Chlorhexidine 2 mg/mL solution is the cleanser of choice.
4. Hydrogen peroxide is an acceptable skin cleanser.
3
Rationale 1: The critical period for infection control is after the first 48 to 72 hours, when drainage may be heavy; pin site care should be done daily.
Rationale 2: Pins located in areas with considerable soft tissue should be considered at greater risk for infection.
Rationale 3: Research supports that chlorhexidine 2 mg/mL solution is the most effective cleansing solution for pin site care.
Rationale 4: The use of hydrogen peroxide is discouraged because it may cause damage to the healthy tissue surrounding the pin; it has also been associated with increased infection rates and the disruption of the skin's normal flora.
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A) Avoid prolonged sun exposure at the patch site due to increased plasma concentrations. B) The application of heat at the patch site will decrease effectiveness and result in pregnancy. C) The medication, when exposed to sunlight, can increase the risk of breast cancer development. D) Exposure of the medication to occasional cold will increase effectiveness with application once a month.
A father brings his 10-month-old infant to the well-baby clinic and expresses frustration that his child "puts everything in her mouth" and "gets into everything," then cries when objects are taken away. In providing anticipatory guidance,
what action by the nurse is the most appropriate? A. Advise the father that crying indicates fatigue and the child should rest. B. Explain that objects may be dirty and should not be put in the mouth. C. Give the father written material on effective disciplinary techniques. D. Teach the father that this behavior is normal and not misbehaving.
The nurse, when selecting possible nursing diagnoses for the 32-year-old patient who is in anticipatory grieving for an upcoming bilateral above-knee amputation, would consider (se-lect all that apply):
1. anxiety related to knowledge deficit of procedure. 2. disturbed body image related to loss of body part. 3. sexual dysfunction related to perceived disfigurement. 4. disturbed self-image related to loss of independence. 5. activity intolerance related to pain.
What are the benefits to the organization from greater patient satisfaction?
a. Fewer malpractice suits b. Lower acuity c. Higher employee benefits d. Fewer call lights to answer