A patient has a large scar on the leg from a laceration. What information would the nurse provide about these scars? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. "This scar tissue is just as strong as any other skin on your body.".
2. "You need to protect this scar from trauma for about 3 or 4 months.".
3. "Do not expose the scar to intense sunlight.".
4. "It may take up to 2 years for this area to get as strong as it is going to.".
5. "Once the scar is present, epithelialization will begin.".
3,4
Rationale 1: Scar tissue does not recover its full preinjury strength.
Rationale 2: Scar tissue should be protected from injury forever.
Rationale 3: Scar tissue should be protected from overexposure to the sun.
Rationale 4: The remodeling phase may take up to 2 full years.
Rationale 5: Epithelialization is the process by which the wound in closed. This forms a scar, which then undergoes additional maturation.
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The student studying pediatric hematological disorders learns that anemia can occur in several ways, including which of the following? (Select all that apply.)
A. Acute or chronic blood loss B. Altered shape of RBCs C. Decreased RBC production D. Increased RBC destruction E. Lack of functional RBCs
A patient asked a nurse when the primary health care provider would make rounds. The nurse was taking another patient for a stat test and replied very quickly, "I have no idea."
The patient most likely interpreted the nurse as uncaring because of which factor? a. Vocabulary b. Pacing c. Timing d. Personal appearance
Nursing care that is client-focused and revolves around the client's trust in, value of, and understanding of the nurse's skills is called _________________________
Fill in the blank(s) with correct word
The written goal statement in a client's care plan is: Client will have clear lung sounds bilaterally within 3 days
One of the interventions to meet this goal is that the nurse will teach the client to cough and deep breathe and have the client do this several times every 2 hours. At the end of the third day, the client's lungs are indeed clear. In order to relate the intervention to the outcome, the nurse should: 1. Ask how many times per day the client practiced the coughing and deep breathing exercises. 2. Tell the client that the lungs are clear. 3. Document the assessment findings to show the effectiveness of the intervention. 4. Write this evaluation statement: Goal met, lung sounds clear by third day.