The nurse debriding a wound explains the purpose of debridement is to:
a. increase the effectiveness of the skin graft.
b. prevent infection and promote healing.
c. promote suppuration of the wound.
d. promote movement in the affected area.
B
Débridement is the removal of damaged tissue and cellular debris from a wound or burn to prevent infection and to promote healing.
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Which action is the most important for the nurse to teach a client to reduce the risk for dehydration?
A. Restricting sodium intake to no greater than 4 g per day B. Maintaining an oral intake of at least 1500 mL per day C. Maintaining a daily oral intake approximately equal to daily fluid loss D. Avoiding the use of glycerin suppositories to manage constipation
Mr. and Mrs. Johnson have presented to the office with their infant son with complaints of ear drainage
When examining an infant's middle ear, the nurse should use one hand to stabilize the otoscope against the head while using the other hand to: a. pull the auricle down and back. b. hold the speculum in the canal. c. distract the infant. d. stabilize the chest.
The nurse would check the diet order for a client with which of the following conditions to be sure that the order includes a protein restriction?
1. kwashiorkor 2. marasmus 3. postoperative state 4. liver failure
A nurse is using the problem-oriented approach to data collection. Which action will the nurse take first?
a. Complete the questions in chronological order. b. Focus on the patient's presenting situation. c. Make accurate interpretations of the data. d. Conduct an observational overview.