The orders written by the physician for a patient with a large sacral wound call for the application of wet-to-dry dressings. What is the purpose of a wet-to-dry dressing?
A) To control infection
B) To soften the surrounding skin around the wound bed
C) To keep underlying tissue moist
D) To remove exudates from erosions or ulcers
Ans: D
Feedback: Wet-to-dry dressings are used to remove exudates from erosions or ulcers. The dressing remains in place until it dries. It is then removed without soaking so that crusts, exudates, or pus from the skin lesion will adhere to the dressing and be removed with it.
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1. Strip the bed. 2. Do not tuck, miter, or toe-pleat the top covers. 3. Fold top sheets into a triangle at the side of the bed. 4. Place pillows on the chair beside the bed. 5. Raise the bed to a comfortable working height.
When teaching, a nursing instructor stands 15 feet from the class of nursing students. The personal space-distance zone that the nursing instructor is in is
1. Public. 2. Intimate. 3. Casual-personal. 4. Social-consultative.
The nurse assesses which of the following families as developmentally appropriate? Select all that apply
A) the family that teaches their school-age children at home, and does not participate in social groups B) the family with a newborn that has prepared a nursery and bought clothing and baby care supplies C) the family in which the teenagers are expected to work in the family business after school and on weekends D) the newlyweds who have decided together not to have children for several years E) the "empty nest" family that has opened a new business and spends long hours each day working together
A client has been treated for diabetes mellitus since childhood. Currently, the client's blood glucose reading is 180 mg/dl. For which sensory disturbance should the nurse assess in this client?
1. Loss of ability to taste 2. Hearing loss 3. Vision loss 4. Loss of ability to smell