In caring for a stage IV pressure ulcer, the nurse assesses the purulent drainage as creamy yellow with a necrotic odor. The nurse is aware that this type of exudate is probably caused by:
a. Proteus.
b. Bacteroides.
c. Staphylococcus.
d. Pseudomonas.
C
Creamy yellow drainage is usually caused by Staphylococcus infections. Proteus is associated with a beige discharge having a fishy odor. Brown discharge having a fecal odor is seen in Bac-teroides. Pseudomonas-containing wounds produce a green-blue discharge with a fruity odor.
You might also like to view...
A health care provider has ordered an MRI (magnetic resonance imaging) of the liver. The nurse's first action is to
a. prepare the patient psychologically and physically for the procedure. b. monitor the patient's response to the procedure. c. assess the patient after the procedure. d. inform the patient's family of the results.
Models are used by community health nurses in an organization for analysis of community health data. Which is the core in the community assessment wheel model?
A) Lines of resistance B) Major focus for analysis C) Strengths of the analysis D) Stressors for the subsystem of the analysis
You are ambulating a patient who begins to fall to the floor. You should
A) grab the patient securely under the arms and lift up. B) keep your back straight and ease the patient to the floor. C) hold the patient up by the waist until another assistant brings a wheelchair. D) stay out of the way so the patient does not fall over you.
The nurse caring for a patient with an intermittent IV device should:
a. attach continuous fluid infusion to the device. b. infuse saline or heparin solution to maintain patency. c. discontinue when the IV medication is finished. d. reduce patient activity to prevent dislodgement.