The nurse is educating the patient about the signs and symptoms of a wound infection. Which statement indicates a need for further education?
a. "The wound will be red."
b. "The wound will have pus."
c. "The wound will be warm."
d. "The wound will need to be treated."
ANS: B
An infected wound shows clinical signs of infection, including redness, warmth, and increased drainage that may or may not be purulent (contain pus), and has a bacterial count in the tissue of at least 105 per gram of tissue sampled when cultured. The wound will need to be treated for the infection.
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The community health nurse assesses clients at a health fair. Which statement assists the nurse to identify modifiable risk factors in clients with coronary artery disease?
a. "Would you please state your full name and birth date?" b. "Have you ever had an exercise tolerance stress test?" c. "In what activities do you participate on a daily basis?" d. "Does anyone in your family have a his-tory of heart disease?"
If a narcotic has to be wasted or disposed of, you must have a co-worker as a witness
Indicate whether the statement is true or false
MC The nurse works in a school that is designated for students with special needs in the district. An important consideration specific to this population is to ensure that these students
A. Are able to have sufficient time at lunch to eat. B. Have physical education activities like all students. C. Receive an annual flu immunization. D. Have personal care attendants.
Your patient is a 34-year-old male who had just finished dialysis at an outpatient dialysis center when he became unresponsive. The patient has a very weak radial pulse; cool, diaphoretic skin; and clear and equal lung sounds. HR = 112, BP = 78/44, RR = 8 and shallow, SaO2=90%, blood glucose = 60 mg/dL. In addition to cardiac monitoring, managing the airway and starting an IV of normal saline, which of the following is indicated?
a. 250 mL fluid challenge b. 50 percent dextrose c. 250 mL fluid challenge, 50 percent dextrose d. 2 g magnesium sulfate