The nurse understands the rationale for drying a wound after irrigation is:
a. to ensure the new dressing adheres to the wound.
b. to ensure the new dressing remains occlusive.
c. to prevent skin breakdown from moisture.
d. to prevent infection from irrigate solution.
ANS: C
Proper drying prevents further skin breakdown from moisture. Patting (rather than rubbing) prevents healthy tissue from being removed and reduces trauma to the wound. The type of dressing will determine how it lays in the wound and whether or not it is occlusive. The drying does not prevent infection.
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A mother brings her four-month-old infant in for a routine checkup and vaccinations. The mother reports that the four-month-old was exposed to a brother who has the flu. In this case, the nurse will:
1. Withhold the DTaP vaccination but give the others as scheduled. 2. Give the infant the flu vaccination but withhold the others. 3. Give the vaccinations as scheduled. 4. Withhold the vaccinations.
Which organization published a 1965 position paper that identified associate degree nurses as "technical nurses"?
1. The American Medical Association 2. The American Nurses Association 3. The American Association of Colleges of Nursing 4. The National League for Nursing
Which of the following statements are TRUE about the use of a stethoscope and a respiratory assessment? (Select all that apply.)
a. The stethoscope's eartips should point toward the nose. b. All five lobes need to be auscultated and assessed. c. The diaphragm of the stethoscope is used to detect high-pitched sounds. d. When auscultating, the nurse should place the stethoscope on the ribs for the best assessment. e. Vesicular breath sounds are heard over the majority of the lungs. f. Abnormal breath sounds include adventitious breath sounds as well as crackles and wheezes.
The nurse caring for a client with joint pain associated with disseminating intravascular coagulation would utilize which of the following interventions to help the client?
1. Apply heat 2. Apply splints 3. Apply cool compresses 4. Apply ice