The nurse is applying a dry gauze dressing to the client's large abrasion. The client asks the nurse why he needs a dressing on it. Appropriate responses include:(Select all that apply) Standard Text: Select all that apply
1. The dressing will protect the wound from being contaminated by germs
2. Wounds heal better when they are kept warm, and the dressing will provide insulation
3. The wound may drain as it heals, and the dressing will absorb the drainage
4. The wound needs to be kept moist
5. This will prevent the wound from hemorrhaging
1,2,3
Rationale: The dressing will protect the wound from microbial contamination
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Amanda is an 18-year-old with anorexia nervosa. She was recently admitted to an eating disorders clinic with a BMI of 13.9, and although she was a voluntary patient, she was reluctant about the treatment
She was convinced she was overweight because her clothes felt tight on her. She complained that even her hands and feet "were fat." One of her nurses explained that a protein in her blood was low. The nurse further explained that, as difficult as it may be to believe, eating a normal healthy diet would make the "fat hands and feet" go away. What protein do you suspect the nurse was referring to? How would a deficiency in this protein contribute to edema? What is the difference between the physiology of pitting and nonpitting edema? Because of her weakened condition, Amanda was moved around the ward in a wheelchair when she was not on bed rest. How does this affect her edematous tissues?
A new employee asks about reducing health care costs to the hospital. What would help to reduce health care costs in the clinical setting? Select all that apply
a. Frequent handwashing b. Delegating taking of vital signs of a new admission to the UAP c. Turning at-risk patients frequently d. Discharging patients before their lab results are back e. Instituting early ambulation of patients after surgery
The nurse prepares to administer a medication through the client's central line. Per hospital policy, the nurse must use heparin to keep the line patent. Place the steps in the correct order for administering medication through the central line. A) Administer the medication.B) Flush the catheter with 5-mL saline.C) Flush the catheter with heparin. D) Flush the catheter with 10-mL saline.
Fill in the blank(s) with the appropriate word(s).
Upon assessment, the client reports that he does not belong to an organized religion. The nurse is correct to interpret this statement as:
a. the client will not request to see the hospital chaplain or seek spiritual counseling. b. the client is not affiliated with a specific system of belief regarding a higher power. c. the client's spiritual needs are met. d. the client will experience conflicts between religious beliefs and health care options.