The nurse is preparing to change a large wound dressing on the patient's buttock. Which intervention should the nurse address first?
a. Inspect the dressing for drainage.
b. Medicate appropriately before performing the dressing change.
c. Observe wound edges and if staples or sutures are intact.
d. Assess the insertion site of the drain(s).
B
When you plan a dressing change, consider giving the patient an analgesic at least 30 minutes before exposing a wound. Then assess the appearance of the wound. Next, assess the character of wound drainage by noting the amount, color, odor, and consistency. Then assess the drains. Drains lie within tissue, extend from the skin, and are connected to a drainage bag or suction apparatus or allowed to drain into a dressing. Most drains attach to a collection device. First, observe the security of the drain and its location with respect to the wound. Next, note the character and amount of drainage if there is a collecting device. In the case of a surgical wound, inspect the staples, sutures, or wound closures for irritation, and note whether the wound edges are intact.
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The nurse is discussing conservative management of tendonitis with a patient. Which of the following is likely the most effective approach to managing tendonitis?
A) Weight reduction B) Stress reduction C) Intermittent application of ice and heat D) Range-of-motion (ROM) exercise of the affected joint
An outbreak of German measles has occurred at the middle school. The school nurse has been notifying the parents of the children, along with the staff. The best prevention against contracting the highly contagious disease is:
1. To keep ill children at home. 2. To let children come to school after 16 days from the last known day of exposure because if there are no signs and symptoms, the child will not become ill. 3. Receiving the MMR vaccine. 4. Good hand washing.
Health perspectives have varied over time. In the ancient Greek view
1. Scientific and biological view of disease dominated. 2. There was a focus on assuring conditions for the public health. 3. Collaboration existed between consumers and providers. 4. Health was the totality of environmental forces influencing human well-being.
A client with a generalized anxiety disorder asks the nurse if he or she will need medication for treatment. Which response should the nurse provide the client?
A. "A prescription is a common treatment for clients with anxiety disorders." B. "A prescription is necessary initially; followed by therapy." C. "You most likely will not require a prescription." D. "A prescription is necessary when anxiety interferes with your quality of life."