A patient has an infected wound with large amounts of drainage. Which type of dressing would the nurse use?
a. Telfa
b. OpSite
c. DuoDerm
d. AlgiDERM
ANS: D
AlgiDERM is manufactured from seaweed and is recommended for infected wounds because it is an exudate absorber. Telfa and OpSite do not absorb exudates. DuoDerm is for light to moderate wound drainage. According to the manufacturer, it does absorb exudates, but it is best for wounds with moderate drainage.
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A nurse cares for a client of Asian descent who is prescribed warfarin (Coumadin). What action should the nurse perform first?
a. Schedule an international normalized ratio (INR) test to be completed each day. b. Initiate fall precautions and strict activity limitations. c. Teach the client about bleeding precautions, including frequent checks for any bruising. d. Confirm the prescription starts warfarin at a lower-than-normal dose.
A depressed patient believes in traditional remedies but agrees to take an antidepressant medication. The patient tells the nurse, "I will also treat my symptoms with my own healing practices." Select the nurse's most important response
a. "You agreed to take this prescription. You must avoid herbal remedies." b. "What herbs and special foods do you plan to use?" c. "Will your treatment include yoga or meditation?" d. "Will you do special breathing exercises?"
What is the major advantage of the halo device over the Gardner-Wells tongs?
a. Separates the cervical vertebrae b. Allows the patient out of bed c. Aligns the cervical spine d. Relieves pain
The nurse is applying a hydrocolloid dressing to a client's wound, which measures 2 inches by 3 inches. The nurse should cut the dressing to which dimensions?
1. 3.25 inches by 4.55 inches 2. 2 inches by 3 inches 3. 1 1/2 inches by 2 1/2 inches 4. 1 inch by 1 1/2 inches