For a patient with a transparent film dressing, the nurse assesses that there is white, opaque fluid accumulation and the surrounding tissue is inflamed. How should the nurse respond?
a. Culture the wound.
b. Leave the current dressing in place.
c. Apply gauze over the top of the dressing.
d. Remove and stretch the film more tightly over the wound.
A
Accumulation of fluid with a white, opaque appearance and erythema of the surrounding tissue usually indicate an infectious process; the dressing should be removed and a wound culture obtained.
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a. Isolation precautions b. Provision of brightly lit room c. Observation for increasing intracranial pressure d. Preparation for spinal tap e. Seizure precautions
A 6-month-old infant has been diagnosed with X-linked agammaglobulinemia and the parents do not understand why their baby did not develop an infection during the first months of life. The nurse should describe what phenomenon?
A) Cell-mediated immunity in infants B) Passive acquired immunity C) Phagocytosis D) Opsonization
An older patient is prescribed diet supplementation to combat unintentional weight loss. How should the nurse provide these supplements to the patient?
1. Serve at room temperature. 2. Provide with the next meal. 3. Provide separate from medications. 4. Provide more than an hour before the next meal.
A nurse is caring for a client who is of African American heritage. The nurse assumes that the client has the same values as the nurse's best friend who has a similar heritage. This is an example of:
a. ethnocentrism. b. racism. c. cultural assimilation. d. stereotyping.