Your patient has undergone a colon resection. While turning him, wound dehiscence with evisceration occurs. What is your first response?
A) Call the physician
B) Place saline-soaked sterile dressings on the wound
C) Take a blood pressure and pulse
D) Pull the dehiscence closed
Ans: B
Feedback: The nurse should first place saline-soaked sterile dressings on the open wound to prevent tissue drying and possible infection. Then the nurse should call the physician and take the patient's vital signs. The dehiscence needs to be surgically closed, so the nurse should never try to close it.
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Two health care workers are comparing the etiology and incidence of multifactorial inheritance disorders and single-gene disorders. Which of the following statements best captures the relationship between the two types of genetic disorders?
A) "Multifactorial disorders and single-gene disorders can both be predicted quite accurately." B) "Multifactorial disorders are more likely to involve multiple organs." C) "Multifactorial disorders manifest themselves at birth." D) "A couple with a child with a multifactorial disorder has a higher risk of having another with the same disorder."
The nurse is speaking with the mother of a child with muscular dystrophy at a local health fair. The nurse emphasizes the importance of:
A) preventing respiratory infections. B) avoiding pneumococcal vaccines. C) using braces as little as possible. D) keeping child isolated from other children.
A boy age 4 1/2 years has been having increasingly frequent angry outbursts in preschool. He is aggressive toward the other children and the teachers. This behavior has been a problem for approximately 8 to 10 weeks. His parent asks the nurse for advice
What is the most appropriate intervention? a. Refer the child for a professional psychosocial assessment. b. Explain that this is normal in preschoolers, especially boys. c. Encourage the parent to try more consistent and firm discipline. d. Talk to the preschool teacher to obtain validation for behavior parent reports.
Which clinical manifestation would the nurse consider normal for a client with gastroenteri-tis? (Select all that apply.)
A. Diffuse abdominal pain B. Rebound tenderness C. Hyperactive bowel sounds D. An elevated temperature E. Steatorrhea F. Diarrhea