The nurse, caring for a patient who sustained burns of 30% of the total body surface area seven days ago, is assessing the status of the patient's wounds
Which of the following phases of wound healing is the patient currently experiencing? 1. proliferative
2. inflammatory
3. maturation
4. contraction
2
Rationale: The inflammatory phase lasts approximately 2 weeks. After the inflammatory phase is finished, the proliferative phase of healing begins. This phase lasts up to 1 month. The maturation phase of wound healing follows the proliferative phase and can last 6 to 18 months or longer depending on the wound. Contraction is not a phase of wound healing
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Factors that complicate assessment of older adults include: (Select all that apply.)
a. presence of multiple comorbid conditions. b. atypical presentation of illness. c. difficulty in differentiating symptoms of disease from normal age-related changes. d. increase in iatrogenic illness. e. lack of assessment instruments specific for the older adult population.
A patient with Hungtington's disease has just been admitted to a long-term care facility. The charge nurse is creating a care plan for this patient
Nutritional management for a patient with Huntington's disease often focuses on which of the following characteristics? A) The patient will have an increased appetite. B) The patient will have a decreased appetite. C) The patient will require a clear liquid diet. D) The patient will require a diet limited in protein.
During a childbirth education class, the nurse discusses the effects of breastfeeding on the infant immune system. Which information is correct?
a. "Breastfed babies have a lower incidence of respiratory and gastrointestinal infections." b. "Breastfed babies are highly resistant to contagious illnesses such as chicken pox." c. "Breast milk offers no greater protection to your baby than formula feedings." d. "If you breastfeed, all your immunities will pass to your baby."
The nurse should recognize which finding as a sign of decreased cardiac output and tissue perfusion in a patient with heart failure?
1. reduced mental alertness 2. increased urine output 3. abdominal distention 4. strong peripheral pulses