The nurse, using the RYB wound classification system, would document that a client has a black wound when the wound:
a. is a traumatic wound soiled with dirt and grime.
b. contains necrotic tissue.
c. is in the proliferative phase of wound repair.
d. is infected with purulent exudates.
ANS: B
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An 80-year-old woman complains of pruritus from dry skin. What would be an appropriate bathing schedule for the patient?
a. A hot shower every night before going to bed. b. A cool shower every morning using a detergent soap. c. A soak in a warm sudsy bath, leaving a film of soap on the skin. d. One shower a week, with sponge baths in between.
Clients sometimes prefer chewable forms of antacids because of their convenience. When this form of antacid is used, the nurse instructs the client to:
a. take the tablet on an empty stomach. b. chew the tablet completely before swallowing and follow it with a glass of water. c. use the effervescent-type tablet. d. limit fluid intake when using chewable antacids.
A nurse is teaching a class about vulnerable populations. He instructs that vulnerable populations have been divided into three groups. Which of the following is not one of the three groups that research has identified?
A. People suffering as a result of their behavior (for example, drug addicts) B. Children of parents who made bad decisions (for example, illegal immigrants) C. People who became vulnerable through no fault of their own (for example, from cancer) D. Adults that are born into vulnerable populations because of their ethnicity or race
The nurse teaches a patient about drug therapy after a kidney transplant. Which statement by the patient would indicate a need for further instructions?
a. "After a couple of years, it is likely that I will be able to stop taking the cyclosporine." b. "If I develop an acute rejection episode, I will need to have other types of drugs given IV." c. "I need to be monitored closely because I have a greater chance of developing malignant tumors." d. "The drugs are given in combination because they inhibit different ways the kidney can be rejected."