A wound with drainage and foul odor should be cleansed with
A. Normal saline
B. Hydrogen peroxide
C. 20% acetic acid
D. Betadine
A
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The client has been receiving intravenous (IV) fluids for the last 6 hours and now is demonstrating bounding pulse, crackles in the lungs, leg swelling, and a blood pressure more than 15 mm Hg higher than baseline
Which is the most likely nursing diagnosis for this client? A) Ineffective Peripheral Tissue Perfusion B) Ineffective Airway Clearance C) Excess Fluid Volume D) Impaired Tissue Integrity
A patient exhibits ptosis of both eyes, and the provider orders edrophonium (Tensilon). The nurse notes immediate improvement of the ptosis. The nurse understands that this patient most likely has which disorder?
a. Cerebral palsy b. Multiple sclerosis c. Muscle spasms d. Myasthenia gravis
You can protect yourself from a charge of assault and battery by:
a. Explaining to the person what you are going to do and getting consent b. Getting the person's informed consent in writing c. Refusing to perform a task that involves touching the person d. Making sure the task was delegated by a nurse
A client with a malabsorption disorder has been prescribed enteral feedings. The nurse explains that the carbohydrates in the formula constitute 30% to _____ % of the calories. Standard Text: Record your answer rounding to the nearest whole number
What will be an ideal response?