The wound care nurse has been asked by the healthcare provider to begin negative-pressure wound therapy on a client. Upon assessment of the wound, the nurse notes that the wound still requires a great deal of debridement. Which should the nurse do in this situation?
A. Apply the wound vac because this is the intent of the therapy.
B. Contact the healthcare provider and arrange for debridement of the wound.
C. Apply an autolytic dressing for 24 hours and then apply the wound vac.
D. Place enzymatic debridement product under the black foam and begin the negative-pressure wound therapy.
Answer: B
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The nurse is caring for a child who has a long leg cast. The child complains of increasing pain in the toes of the casted foot. The nurse's initial action is to:
1. Call the physician to report increasing pain. 2. Administer pain medication. 3. Reposition the child in bed. 4. Check to see if the cast is too tight.
The nurse is preparing to give a dose of gentamicin to a patient and notes that the most recent serum gentamicin trough level was 2 mcg/mL. What will the nurse do next?
a. Administer the drug as ordered. b. Administer the drug and monitor for adverse effects. c. Notify the provider to discuss decreasing the dose. d. Notify the provider to report a toxic drug level.
You were recently hired into an organization that you have always wanted to work at, and in addition, your education and experience complement your new position perfectly. According to the situational model, your level of development is
a. S2 b. D2 c. S1 d. D4
During a clinical interview with a male nurse, the client falls silent after disclosing that she was sexually abused as a child. The nurse should
A. quickly break the silence and encourage the client to continue. B. reassure the client that the abuse was not her fault. C. reach out and gently touch the client's arm. D. allow the client to break the silence.