The nurse is assessing a patient for wound healing. Which of the following is the most important factor to assess in this patient?
1. pain control
2. adequate oxygenation
3. splinting
4. adequate wound dressing
2
Rationale: Adequate tissue perfusion/oxygenation is the most important factor to assess for in wound healing. The nurse should assess local and systemic factors that alter tissue perfusion and oxygenation. Although important, pain control, splinting, and adequate wound dressing are not the most important factors to assess in a patient with a healing wound.
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a. 1/6 b. 6 c. 4 d. 3
The nurse is teaching a group of patients about hypertension. A patient who has been diagnosed with uncomplicated primary hypertension asks the nurse what the preferred initial antihyperten-sive drug regimen is
Which of the following is the nurse's best response? a. Direct-acting vasodilators b. Thiazide diuretics, as long as renal disease is not a factor c. Two diuretics from two different groups d. Beta blockers
Which is the treatment for miliaria?
a. Application of oil b. Removal of wet clothing c. Removal of excess clothing d. Application of soothing lotion
The nurse on the high-risk antepartal unit has received the shift change report. Which patient should the nurse see first?
1. Primip at 26 weeks with prolonged premature rupture of membranes, experiencing chills 2. Multip at 28 weeks with premature rupture of membranes reporting leakage of clear vaginal fluid 3. Primip at 30 weeks with premature rupture of membranes due for a betamethasone injection 4. Multip at 32 weeks with prolonged premature rupture of membranes and a hemoglobin of 11.0