The school nurse is assessing a child's severely scraped knee for infection. What are signs of a wound infection? (Select all that apply.)
a. Odor
b. Edema
c. Dry scab
d. Purulent exudate
e. Decreased temperature
ANS: A, B, D
Signs of wound infection are odor, edema, and purulent exudate. Increased, not decreased, temperature indicates infection. A dry scab over the wound is part of the healing process.
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Which of the following statements made by a parent indicates a need for the nurse to teach safety and accident prevention?
a. "I make sure I always raise the side of the crib when I put my baby to sleep, even though newborns don't move around as much as older infants." b. "I've been reading about what new things my baby will be learning to do in the next month or two, so I'll know what to expect." c. "I'm going to buy a backpack for my 2-week-old baby so I can carry her in it whenever she gets fussy." d. "I always take the phone off the hook when I give my baby a bath so I won't be disturbed."
Which is the initial nursing care intervention for a nurse admitting a patient recently discharged from an inpatient unit into a partial-hospitalization program?
a. Confirming the telephone numbers of all family members listed as approved contacts b. Identifying the patient's food preferences to best ensure proper nutrition as well as adequate intake c. Asking the patient to identify any sources of anxiety they are experiencing related to the program d. Educating the patient to the time and place of the unit activities included in their therapeutic plan of care
A 30-year-old client is discharged after treatment for respiratory and kidney disorders. What medical equipment used by the client must be disinfected for reuse?
A) Mouth care utensils B) Incentive spirometers C) The intravenous (IV) pump D) Wash basins
R.K. has no further episodes of chest pain, and she is discharged to home the next day. She is to see a cardiologist this week and set up an appointment for outpatient testing. As you present the discharge instructions, you review the proper technique for
Which statement by R.K. indicates that further teaching is needed? a. "At the first sign of chest discomfort, I will stop what I'm doing and sit down." b. "I will place one nitroglycerin tablet under my tongue." c. "If the chest pain does not stop, I can take another tablet in 5 minutes." d. "My husband will need to call 911 if the chest pain does not stop after three nitroglycerin tablets."