Your client has a third-degree sacral decubitus ulcer that requires cleansing. What would be the appropriate cleaning solution?
1. hydrogen peroxide
2. Dakin's solution
3. saline
4. acetic acid
ANS: 3
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The school nurse is observing a young child who has episodes of rage toward peers during recess and at lunchtime. The advantage of conducting an assessment in this environment is:
1. This will assist in identifying the bullies who trigger the explosive episodes. 2. This provides an opportunity to collect data in the event that other children are injured and legal documentation is needed. 3. To provide data for the parents who are in denial about the problem. 4. This provides a picture of problems and strengths in a realistic context.
A community health nurse is weighing the costs of services against real client benefits. This nurse is demonstrating which of the following?
A) Respect B) Equity C) Well-being D) Self-determination
A nurse is documenting the results of assessment of a patient with bronchiectasis. What would the nurse most likely include in documentation?
A) Sudden onset of pleuritic chest pain B) Wheezes on auscultation C) Increased anterior-posterior (A-P) diameter D) Clubbing of the fingers
The nurse clarifies that the Patient's Bill of Rights ensures that patients will have (select all that apply):
1. provision of respectful care. 2. protection of privacy. 3. access to medical records. 4. reasonable fees for service. 5. information about current condition.