If the skin around the dressing appears red and irritated, the nurse should avoid the use of:
A. Tape
B. Gauze
C. Montgomery ties
D. Strips of hydrocolloid dressing
A
A, C, and D. If areas of redness appear from tape, then paper tape or alternatives such as elastic bandage, Kerlix, or a binder may be used to secure dressing. Sometimes strips of a hydrocolloid dressing are placed on the skin under the Montgomery ties to further protect the skin.
B. Gauze is not contraindicated in cases of redness.
You might also like to view...
What is the best way to make sure that the right patient is receiving a prescribed drug when the patient is alert and oriented?
a. Ask the patient to state his or her social security number. b. Check the patient's wrist band. c. Look at the patient's chart. d. Have the patient state his or her name and birth date.
An older adult patient recovering from a radical prostatectomy is discussing his postsurgical care plan with the nurse when he expresses concern about long-term impotence. The nurse initially responds
a. "I'd suggest a consult with a sexuality counselor for you and your partner." b. "When you've healed sufficiently, we can discuss prosthetic devices that help." c. "There are medications called phospho-diesterase inhibitors that minimize that problem." d. "While postsurgical erectile dysfunction is likely, it is generally temporary."
You are assessing a 59-year-old gas station owner for atherosclerosis in the lower extremities. In which of the following locations would the patient's pain make you concerned for this disease process?
A) Thigh B) Knee C) Calf D) Ankle
The nurse asks you to apply a dry, non-sterile dressing. The dressing change causes pain and dis-comfort. What should you do?
a. Ask the person to take slow, deep breaths. b. Distract the person during the dressing change. c. Ask the nurse when a pain-relief drug was given. Wait 30 minutes to begin. d. Tell the person that the procedure will not hurt.