A nurse is caring for a patient with a skin tear. Which of the following is included in this care? Select all that apply
A) Clean the wound with normal saline.
B) Clean the wound with hydrogel.
C) Cover the wound with a self-adherent dressing.
D) Tape the dressing in place to avoid displacement.
E) Apply hydrogel before cleansing the wound.
F) Wrap the wound with a nonadherent dressing.
A, E, F
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The nurse receives a hand-off report. One client is described as a drug seeker who is obsessed with even tiny changes in physical condition and is "on the light constantly" asking for more pain medication. When assessing this client's pain, what statement
a. "Help me understand how pain is affecting you right now." b. "I wish I could do more; is there anything I can get for you?" c. "You cannot have more pain medication for 3 hours." d. "Why do you think the medication is not helping your pain?"
A community health nurse is working to improve the health of children of migrant families. Which of the following issues would be of least importance for the nurse to address?
A) Adolescent substance abuse B) Exposure to domestic violence C) Mental health problems D) Participation in chores
During a group session, a patient expresses anger at the nurse. The nurse sits tensely with arms and legs crossed while verbally agreeing that the patient's point of view is correct. What message is being sent by the nurse?
1. Tolerance 2. Empathy 3. Incongruence 4. Compassion
A male patient has reported to the nurse that he is experiencing sharp, intense pain when he blinks, and he claims that he has not previously experienced this problem
The nurse reports this finding to the primary care provider in the knowledge that the patient may have which of the following health problems? A) Impaired pupil function B) A cataract C) A sudden increase in intraocular pressure (IOP) D) An abrasion of the cornea