The nurse is caring for a patient with a wound healing by full-thickness repair. Which phases will the nurse monitor for in this patient? (Select all that apply.)
a. Hemostasis
b. Maturation
c. Inflammatory
d. Proliferative
e. Reproduction
f. Reestablishment of epidermal layers
ANS: A, B, C, D
The four phases involved in the healing process of a full-thickness wound are hemostasis, inflammatory, proliferative, and maturation. Three components are involved in the healing process of a partial-thickness wound: inflammatory response, epithelial proliferation (reproduction) and migration, and reestablishment of the epidermal layers.
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The nurse assesses the reflexes in a client on magnesium sulfate for preterm labor and concludes that they are 2+. The nurse should
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Which tests indicates that the heparin therapy for the client at risk for thrombosis is ade-quate?
A. Bleeding time of 4 minutes B. Increased platelet aggregation C. Decreased total iron-binding capacity (TIBC) D. Partial thromboplastin time (PTT) twice the normal value
A nosocomial infection is one that the individual:
a. brings with them into hospital. b. catches in the community. c. becomes very unwell with, as it is resistant. d. becomes infected with as a result of beinghospitalised.