The nurse assesses the client's wound drainage and sees that it is a combination of pus and blood. Which term will the nurse use when documenting this drainage?
1. Serosanguinous
2. Sanguineous
3. Purulent
4. Purosanguineous
Correct Answer: 4
Purosanguineous drainage is a combination of pus and blood often seen in a recent wound that is infected. Serosanguineous drainage is clear fluid combined with blood often seen in surgical incisions. Sanguineous drainage is blood ranging from bright to dark red. Purulent drainage is thick blue, green, or yellow drainage, depending on the infective agent.
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Utilizing the example of the unit-specific competency tool for the Emergency Department, there are a number of skills that are specific to any new nurse. Which of the following is not necessarily correct?
a. monitor data so that I am up to date on evidence-based care for my patients b. network primarily with other nurses c. participate in professional committees at work d. communicate pride in being a nurse
The registered nurse should modify the plan of care for a client when:
a. the outcomes are partially met. b. the goal has been met. c. the data indicate a lack of progress toward goal achievement. d. data has been omitted in the assessment phase.
The nurse knows that treatment of Osgood-Schlatter disease includes which intervention?
a. Limitation of knee bending or kneeling b. Increasing range of motion (ROM) of the knee c. Encouraging flexion of the hip d. Limitation of adduction of the hip
If a patient has been drinking hot coffee, how long should you wait before taking the temperature orally?
A. 5 minutes B. 15 minutes C. 20 minutes D. 30 minutes