The client is brought into the emergency department with a knife wound. The nurse correctly documents the client's wound as which type?
a. Contusion wound
b. Clean wound
c. Puncture wound
d. Primary intention wound
C
A knife wound is an example of a puncture wound.
A contusion is a closed wound caused by a blow to the body by a blunt object, resulting in a bruise.
A clean wound is a wound that contains no pathogenic organisms, such as a closed surgical wound that does not enter the GI, respiratory, or genitourinary (GU) system.
A primary intention wound is a wound resulting from therapy, such as a surgical incision.
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The nurse is conducting a class for seniors about various skin infections. The nurse determines that learning has occurred when a client states:
1. "A wart is a small, fluid-filled rash." 2. "Herpes zoster is not painful" 3. "Herpes zoster is cured with antibiotics." 4. "Warts disappear on their own over time."
Which nursing action will the home health nurse include in the plan of care for a patient with paraplegia at the T4 level in order to prevent autonomic dysreflexia?
a. Support selection of a high-protein diet. b. Discuss options for sexuality and fertility. c. Assist in planning a prescribed bowel program. d. Use quad coughing to strengthen cough efforts.
A health care worker has just finished the 3-dose regimen for hepatitis B vaccination and says, "I'm glad that is over. I'll never have to take that again." The nurse formulates a response based on the knowledge that immunity should last 5 to ______ years
Fill in the blank with the appropriate word.
During conversation, the nurse observes that the patient is talking continuously and excitedly, and is switching rapidly from one topic to another with seemingly no relationship between topics. This behavior is often associated with which disorder?
a. Depression b. Obsessive-compulsive disorder c. Schizophrenia d. Bipolar disorder