A client had a colon resection that required a large abdominal incision. Wound healing differs according to how much tissue has been damaged. What is the purpose of a dry sterile dressing for this client?
A) Absorbs drainage from the surgical wound
B) Prevents development of a pressure ulcer
C) Protects it from contamination
D) Prevents skin breakdown owing to friction
B
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Dry sterile dressings are mostly used for clean wounds, such as surgical incisions, that heal by primary intention to protect it from contamination. Gel-foam packing is done for a wound with a draining sinus tract. A transparent dressing is used to prevent skin breakdown owing to friction. Sterile padding is used to prevent pressure ulcers.
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1. Hyponatremia 2. Fluid retention and dependent edema 3. A large amount of dilute urine 4. A rise in blood pressure
A nurse is monitoring a client who is prescribed milrinone for heart failure. The nurse determines that the client is experiencing an adverse reaction based on assessment of which of the following?
A) Edema B) Hypotension C) Bradycardia D) Cyanosis
A patient with symptoms of osteoporosis is being assessed during her annual physical examination. The nurse informs the patient that she will require further testing. The most accurate test for osteoporosis is:
A) Hip bone densitometry (BMD) B) A bone scan C) Computed tomography (CT) D) Magnetic resonance imaging (MRI)
A patient who is being treated for a deep vein thrombosis (DVT) complains of chest pain and shortness of breath. What should the nurse do first?
1. Elevate the head of the bed and begin oxygen therapy. 2. Measure the patient's blood pressure. 3. Assess the extremity with the thrombosis. 4. Assess the pulses on the extremity with the thrombosis.