Which dressing choice does the nurse make to protect a heavily draining deep pressure ulcer?
a. Wet-to-dry gauze
b. Dry cotton gauze
c. Alginate packing, dry gauze cover
d. Hydrocolloidal transparent film cover
C
Alginates are highly absorbent materials that do not damage healthy tissue. They require a top dressing to stay in place. Because this wound is draining heavily, this is the best choice. A wet-to-dry gauze is not used for this type of ulcer. A transparent dressing would hold in the drainage. Dry cotton gauze would quickly become saturated.
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The nurse is completing a patient's health history with regard to potential risk factors for lung disease. What interview question addresses the most significant risk factor for respiratory diseases?
A) "Have you ever been employed in a factory, smelter, or mill?" B) "Does anyone in your family have any form of lung disease?" C) "Do you currently smoke, or have you ever smoked?" D) "Have you ever lived in an area that has high levels of air pollution?"
The nurse is using transillumination during a scrotal assessment. Which conditions will produce a red glow? Select all that apply
1) Orchitis 2) Atrophic testicle 3) Hydrocele 4) Spermatocele 5) Hernia
What anxiety disorder to you think this young woman has?
A 24-year-old secretary comes to your clinic, complaining of difficulty sleeping, severe nightmares, and irritability. She states it all began 6 months ago when she went to a fast food restaurant at midnight. While she was waiting in her car a man entered through the passenger door and put a gun to her head. He had her drive to a remote area, where he took her money and threatened to kill her. When the gun jammed he panicked and ran off. Ever since this occurred the patient has been having these symptoms. She states she jumps at every noise and refuses to drive at night. She states her anxiety has had such a marked influence on her job performance she is afraid she will be fired. She denies any recent illnesses or injuries. Her past medical history is unremarkable. On examination you find a nervous woman appearing her stated age. Her physical examination is unremarkable. You recommend medication and counseling. A) Specific phobia B) Acute stress disorder C) Post-traumatic stress disorder D) Generalized anxiety disorder
A patient arrives in the emergency department after developing a rash, runny nose, and sneezing after eating strawberries. What action will the nurse expect to take first?
a. Administer diphenhydramine. b. Administer epinephrine. c. Assess for urinary retention. d. Assess heart rate, respiratory rate, and lung sounds.