The nurse identifies several abrasions on the patient's skin. Which intervention should the nurse use for the patient?
a. Apply antibiotic ointment.
b. Allow to dry with room air.
c. Shave the immediate area.
d. Wash the area with soap and water.
D
Washing an abrasion with soap and water is a suitable nursing intervention. Soap helps to emul-sify dirt, debris, and microorganisms; water helps to remove these potential contaminants. The nurse uses warm water under low pressure to débride the wound if necessary. An antibiotic ointment is not indicated because the wound is not infected. Research exists to support the claim that wounds heal faster and with less scarring under occlusive dressings. Shaving is inappropriate at this time.
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A patient diagnosed with a primary immunodeficiency disorder has asked his siblings to be tested as possible stem cell donors. When discussing this procedure with his family, the nurse emphasizes that stem cells can be harvested from: Select all that appl
A) bone marrow. B) peripheral blood. C) skin tissue harvesting. D) mouth swabs. E) tears.
Which is an example of a Schedule I controlled substance?
a. Morphine b. Lomotil (diphenoxylate with atropine sulfate) c. Heroin d. Pentobarbital
The nurse has completed the initial assessment of a client and has analyzed and clustered the data. What should the nurse complete next in the diagnostic process?
1. Formulate a diagnosis. 2. Verify the data. 3. Research collaborative and nursing-related interventions. 4. Identify the client's problem, health risks, and strengths.
A grieving patient tells a nurse, "It's been 8 months since my spouse died. I thought I would feel better by now, but lately I feel worse. I have no energy. I am lonely, but I don't want to be around people
What should I do?" What is the nurse's best counsel? a. Seek psychotherapy. b. Become active in a church. c. Attend a bereavement group. d. Understand this is a normal response.