What should the postoperative assessment of E.B.'s residual limb dressing include?
What will be an ideal response?
• The amount of drainage should be monitored closely to detect the presence of hemorrhage.
• The character of drainage should be monitored for purulence and possible infection.
• The presence of excessive edema might impair healing.
• Dressings initially should be snug but not constrictive to prevent edema.
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When administering a topical antifungal via the vaginal route, what action would the nurse take?
A) Place the patient in left lateral Sims' position. B) Applied using sterile technique C) Administered high into the vagina. D) Insert a tampon after insertion.
The nurse observes a patient who is gagging and using this gesture (see illustration). What is the nurse's response?
1. Assume the patient is having throat pain and administer pain medication. 2. Prepare to perform the Heimlich maneuver. 3. Assess the patient for cyanosis, difficulty breathing, and stridor and wait until normal breathing resumes. 4. Sit with the patient until the laryngospasm passes and encourage deep breathing.
A patient with a bleeding disorder has voided 250 cc of port-wine colored urine. The nurse realizes this finding is indicative of
1. renal calculi. 2. cholelithiasis. 3. ulcerative colitis. 4. hemoglobinuria.
A goal of Healthy People 2010 is full immunization of 95% of children in kindergarten and first grade in the United States. To reach this goal,the school nurse can teach families that:
1. a minor illness with a low-grade feveris a contraindication to receiving an immunization according to Healthy People 2010. 2. vaccines should be given one at atime for optimum active immunity in the prevention of illness and disease. 3. premature infants and low-birthweight infants should receive half doses of vaccines for protection from communicable diseases. 4. the risks of communicable diseasesand the risks and benefits of vaccines from Vaccine Information Statements as required by the National Vaccine Injury Act of 1986 and 1993.