Pulsatile high-pressure lavage may be used by the nurse on:
A. Graft sites
B. New tissue
C. Necrotic tissue
D. Clients taking anticoagulants
C
C. Pulsatile high-pressure lavage is an alternative to high-pressure irrigation. It is the use of a machine to deliver intermittent high-pressure irrigation, combined with suction to remove the irrigant and wound debris. High-pressure irrigation is the cleansing of a necrotic wound with irrigating fluid delivered at 8 to 12 pounds per square inch (psi).
A and B. Wound irrigation in the presence of granulation tissue or new epithelial cells would be done with low pressure.
D. Clients taking anticoagulants would be treated with low pressure to decrease the chance of bleeding.
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The nurse educator is teaching a group of students about health promotion and disease prevention. Which nursing activities promote health and health maintenance?
Select all that apply. A) Helping a mother determine a daily feeding schedule for her infant B) Teaching a school-age child how to use dental floss C) Teaching parents how to perform pulmonary drainage and cupping on their ill child. D) Treating a child diagnosed with pneumonia E) Administering the flu vaccine for an infant who is 9 months of age
Of all the patients who have been scheduled to have a biophysical profile, the nurse should check with the physician and clarify the order for which patient?
1. A gravida with intrauterine growth restriction 2. A gravida with mild hypertension of pregnancy 3. A gravida who is postterm 4. A gravida who complains of decreased fetal movement for 2 days
According to the Stuart Stress Adaptation Model, which person can be assessed as being the closest to the maladaptive responses end of the continuum of emotional responses?
a. A patient whose child died of sudden infant death syndrome (SIDS) 2 weeks ago, who states, "I can't believe I'll never hold my baby in my arms again.". b. A patient whose spouse died 2 years ago, who states, "Strong people don't mourn. I've kept busy and focused on supporting the kids.". c. A patient whose spouse died 6 months ago, who states, "I hate the fact that my spouse died and left me alone after all the years we shared.". d. A patient whose fiancée died 6 weeks ago, who tells the nurse, "My life will never be the same. I find myself crying every day when I think of my fiancée.".
Because the 85-year-old woman with Alzheimer's disease wanders aimlessly around the dining room rather than remaining at the table to eat, the nurse's most effective intervention to support nutrition in this resident would be to:
a. give her a 4-ounce cup of high-energy milkshake to drink as she wanders about. b. bring her back to her chair and ask her to eat. c. ignore the behavior, knowing that the resident will eat when she gets hungry. d. ask the CNA to take her to her room and feed her there.