After irrigating a client's wound, a nurse notes that retained fluid and debris appear. The nurse should:
A. Apply suction to the wound
B. Notify the physician immediately
C. Increase the amount of irrigant used
D. Decrease the amount of pressure used to irrigate
C
A, B, C, and D. If retained fluid and debris appear, increase amount of fluid used during irrigation, increase amount of pressure when flushing wound, and make sure wound is clear of retained fluid and debris before applying dressing.
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A hospital patient began treatment with interferon alfa-2a several days ago and the care team is pleased with the patient's response at this point in treatment
However, the patient has stated to the nurse that he feels increasingly despondent and claims to have lost all hope of recovering from his disease, despite being a previously-optimistic person. How should the nurse best interpret the patient's statements? A) The patient may have misunderstood the potential benefits of interferon alfa-2a. B) The patient may be having psychological adverse effects of interferon alfa-2a. C) The patient is likely to experience a compensatory period of mania in the coming days. D) The patient is likely becoming aware of psychosocial issues that surround interferon alfa-2a treatment.
A woman arrives at the site of a disaster, hysterically crying because she was in the building that collapsed just minutes earlier. What should the nurse do with this patient?
1. Advise her to go home and be with her family. 2. Triage the patient and transport her to the hospital. 3. Have a nurse talk with the patient. 4. Ask psychiatric service personnel to talk with this patient.
The nurse has been teaching new parents how to use the bulb syringe. Which statement indicates a need for further teaching?
a. "We will put the narrow portion of the bulb in the corner of the baby's mouth." b. "We will compress the bulb before inserting it in the nose or mouth." c. "We will wash the bulb syringe with soap and water after each use." d. "We will suction the nose first, then the mouth."
Which of the following statements is correct regarding the nurse's role relevant to the patient's sexuality in a long-term care setting?
a. Upon admission, the nurse tells the patient that sexual expression is not permitted on the unit. b. The nurse reminds the patient that during periods of illness, sexual activity is prohibited. c. The nurse politely reminds the patient that masturbation is not acceptable in a hospital setting. d. The nurse makes proper arrangements for privacy for a resident's sexual expressions in a long-term care facility.