The nurse observes a small opening that is draining purulent material on the skin over the trochanter area of a bedridden client. Which is the nurse's next best action?
a. Probe for a larger pocket of necrotic tis-sue.
b. Apply a transparent film dressing.
c. Measure the reddened area on the skin surface.
d. Apply alginate dressing daily.
A
This "hidden" wound may first be observed as a small opening in the skin through which puru-lent drainage exudes. Applying a transparent film dressing would not help this type of wound to heal. Measuring the reddened area would not assist in determining the actual size of the wound, because internal damage has occurred. Alginate dressings could not be applied if the area were not opened.
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The nurse is caring for a diabetic patient who has painful neuropathy in her feet. The patient asks why the nurse is administering gabapentin (Neurontin) when she does not have a history of seizure disorder. What is the nurse's best response?
a. "Neurontin will help you sleep at night so you can deal with the pain more effectively." b. "Long-term diabetes can put patients at risk for certain type of seizures." c. "Neurontin can help relieve your anxiety from being admitted to the hospital." d. "Neurontin works on the nervous system to help relieve the burning pain in your feet."
The nurse is caring for a client receiving gentamicin IV. Which adverse effect would the nurse report to the physician immediately?
1. Nausea 2. Diarrhea 3. Ototoxicity 4. Increased urinary output
What are the two phases that families experience after a major life event?
a. Asking for help and accepting assistance b. Seeking assistance and relying on the family's own resources c. Temporary adjustment and long-term adaptation d. Reduction of stressors and adapting to reduce tensions
The nurse is teaching a class on dietary supplements. The nurse determines that learning has occurred when the patients make which statement?
1. "Products can make claims based on body structure and function like ‘promotes healthy urinary tract.'" 2. "Dietary supplements must go through rigorous testing prior to being marketed by the manufacturer." 3. "The Food and Drug Administration (FDA) is not involved with the approval of the dietary supplement and cannot remove it from the market." 4. "The manufacturer of the dietary supplement has the burden of proof for the safety of the supplement."