The nurse is caring for a client in the Emergency Department who was in a motor vehicle accident. The client has deep, jagged cuts on both legs with a great deal of road debris in the wounds
The nurse is preparing to document the assessment of the wounds, and describes which of the following? 1. Large, contaminated lacerations on both legs
2. Clean, closed puncture wounds to both legs
3. Intentional, dirty abrasions on both legs
4. Open lacerations on both legs
1
Rationale: Deep, jagged tears of the skin are lacerations. In this case, there is debris in the wounds, which classifies them as contaminated. The wounds described are not puncture wounds, and the debris in the wound would exclude them from being clean wounds.
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The nurse evaluates a need for further instruction about a sodium-restricted diet when the patient with glomerulonephritis says:
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What is the statistical procedure when a nurse researcher wants to predict whether pressure ulcers develop in clients with fractured hips using age, gender, and hemoglobin levels as predictors?
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