The nurse explains that the purpose of the hydrocolloid dressing applied to a clean stage II pressure ulcer is to __________________________. (Select all that apply.)
a. débride the ulcer.
b. prevent shear force trauma.
c. absorb the exudate.
d. prevent infection.
e. make an air-occlusive seal.
ANS: A, B, C, D, E
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The most significant clinical finding of acute adrenal crisis associated with fluid and electrolyte balance is:
a. fluid volume excess. b. hyperglycemia. c. hyperkalemia d. hypernatremia
The nurse is caring for a mechanically ventilated patient following bilateral lung transplantation. When planning the care of this patient, what is the priority nursing intervention?
a. Thirty-degree elevation of head of bed b. Endotracheal suctioning as needed c. Frequent side to side repositioning d. Sequential compression stockings
A child is receiving Didanosine (Videx),a nucleoside reverse transcriptase inhibitor,for human immunodeficiency virus (HIV). The nurse should monitor the lab value of
1. potassium. 2. sodium. 3. red-blood-cell count. 4. glucose.
According to the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus, Mrs. C has three risk factors for GDM. What are those risk factors?