A nurse has many responsibilities related to the application of wound dressings. When performing wound care on a patient with an abdominal wound that is healing by second intention, a nurse should do which of the following? Select all that apply
1. Exhibit a sterile conscience.
2. Keep the wound and dressing dry.
3. Assess for dark pink or red granulation tissue.
4. Measure the length, width, or diameter of the wound.
5. Assess for a threat of dehiscence.
ANS: 1, 3, 4
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Which one of the following is a true statement about mobility and safety for older adults?
a. Use of restraints on older patients helps prevent injuries from falls. b. Falls that do not cause physical injury are not significant. c. The get-up-and-go test provides a measure of a patient's energy and initiative. d. Lowering the bed and fluorescent tapes are interventions to increase safety.
Which statement by the patient demonstrates health literacy?
a. "I speak and understand little English but will do what I am told." b. "I will take my medications after I ask the nurse a few questions." c. "I have not taken my prescribed antibiotics because I can't read the labels." d. "I stopped my medications when I started feeling better."
A patient taking an iron supplement may experience which side effect?
1. Headache 2. Circumoral cyanosis 3. Fatigue 4. Black stools
A patient is being evaluated for possible atopic dermatitis. The nurse expects elevation of which laboratory value?
a. IgE b. IgA c. Basophils d. Neutrophils