The nurse assesses the need for further instruction in wound cleaning when observing the patient:
a. using sterile gloves to perform the cleaning.
b. applying an antiseptic to the area.
c. cleaning the area from the outside in.
d. washing hands with soap.
C
Cleaning away from the wound prevents entrance of microorganisms.
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The hospice nurse recommends that the patient prepare the document that provides guidance to the family concerning the patient's wishes regarding life-support measures and organ donation. This document is called a(n):
a. power of attorney. b. living will. c. advance directive. d. conservatorship.
Which finding is most likely to be an associated manifestation of peripheral edema in a 64-year-old female whose chief complaint is swelling of the legs?
a. recent weight gain c. pain in the lower abdomen b. sense of impending doom d. aching in the joints of her fingers
An older patient asks the nurse what can be done to help with urinary incontinence. What can the nurse respond to this patient?
A) Practice pelvic muscle exercises. B) Reduce fluids a few hours before sleep. C) Avoid caffeinated beverages. D) Limit alcohol intake to 3 drinks per day.
A client is experiencing constipation secondary to the use of calcium carbonate. The nurse's most appropriate response to this client is:
a. "Alternating the calcium carbonate with magnesium hydroxide will help prevent this." b. "Calcium carbonate is the best antacid on the market, so perhaps if you drank more orange juice, it would help." c. "You need to discuss this with your doctor to see if anything to help you can be determined." d. "If you would stop taking the calcium carbonate and cut down on acidic foods, the constipation would resolve."