For the absorption of heavy exudate from a wound, a nurse selects a dressing that contains:
A. Alginates
B. Hydrogel
C. Hydrocolloid
D. Transparent film
A
A. Alginates are used for absorption of heavy to moderate wound exudate in superficial and deep wounds.
B. Hydrogels are used for absorption of minimal to moderate exudate in superficial and deep wounds and are not indicated for heavily exuding wounds.
C. Hydrocolloids are used for autolytic debridement of minimal to moderate amount of yellow slough.
D. Transparent film is used for wounds with little or no drainage.
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The nurse is caring for a patient with a history of incontinence and poor perineal hygiene practices. The patient has had four urinary tract infections in the past year
Which is the priority goal for the nursing diagnosis of Ineffective therapeutic regimen management? a. The patient will be provided with educational materials about risks of urosepsis. b. The patient will allow family members to assist with daily bathing and perineal care. c. The patient will clearly state why she refuses to provide adequate care for herself. d. Regular home care nursing visits and follow-up telephone contact will be arranged.
In documenting labor experiences, nurses should know that a uterine contraction is described according to all of the following characteristics except:
1. frequency (how often contractions occur). 2. intensity (the strength of contraction at its peak). 3. resting tone (tension in the uterine muscle). 4. appearance (shape and height).
A patient with preeclampsia is receiving magnesium sulfate. Which nursing assessment should be ongoing while the medication is being administered?
A) Urine protein B) Ability to sleep C) Hemoglobin D) Respiratory rate
A client diagnosed with paranoid personality disorder becomes violent on a unit. Which nursing intervention is most appropriate?
A. Provide objective evidence that violence is unwarranted. B. Initially restrain the client to maintain safety. C. Use clear, calm statements and a confident physical stance. D. Empathize with the client's paranoid perceptions.