While bathing a patient, the nurse assesses a red, unblanchable area on the coccyx. Which type of dressing should the nurse apply?
a. Transparent film
b. Hydrocolloid
c. Fluffy absorbent
d. Wet-to-dry
A
A transparent film for a stage I pressure ulcer will protect it from shearing injury and will retain moisture. A hydrocolloid dressing would be appropriate for a larger, more advanced pressure ulcer. There is no discharge in a stage I pressure ulcer, making absorbent and wet-to-dry dressing options inappropriate.
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Which of the following statements is true regarding the average child's growth and development?
A. A child's weight typically triples at a year B. A child's weight typically quadruples by age 2 C. During the puberty growth spurt, females gain approximately 38 pounds D. All of the above
The nurse is caring for a patient after recent renal transplantation. The patient is taking sirolimus [Rapamune] to prevent transplant rejection. What other medications would the nurse expect the patient to be taking?
a. Rifampin and ketoconazole b. Carbamazepine and phenobarbital c. Cyclosporine and glucocorticoids d. Amphotericin B and erythromycin
When counseling teenage girls regarding nutritional needs, it is most important that the nurse emphasize
a. limiting daily intake of sodium b. restricting consumption of saturated fats c. increasing daily calcium intake d. increasing intake of carbohydrates
Mary, an 85-year-old patient with cognitive impairment and gross instability, wanders continuously. Lately, she has fallen twice, and the family demands that she be restrained
As the unit manager, you have initiated a least restraint practice. An appropriate action in this situation would be: a. Setting up a nursing team meeting to review practices. b. Calling the family to inform them of the practice. c. Initiating a multidisciplinary and family meeting to focus on Mary's needs. d. Restraining Mary to satisfy the family's wishes.