The nurse is assisting with the initial debridement of a patient's burn wounds. What will be done during this debridement? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Cleaning the wounds with warm water and wound cleanser
2. Removing loose skin with gauze
3. Trimming skin tags with scissors
4. Shaving the hair around the wound
5. Washing the debrided wound with hot water and liquid soap
1,2,3,4
Rationale 1: Debridement of major burn wounds involves cleaning the burn wound with warm water or sterile saline and antimicrobial soaps or wound cleansers.
Rationale 2: Debridement of major burn wounds involves removing loose skin with gauze.
Rationale 3: Debridement of major burn wounds involves trimming skin tags with scissors.
Rationale 4: Debridement of major burn wounds involves shaving the hair around the wound.
Rationale 5: The debrided wound is washed with warm water or normal saline.
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A patient who is Orthodox Jewish is terminally ill. The family and rabbi spend a great deal of time at the patient's bedside. At the time of death, what should the nurse expect to occur?
1. The family will approve organ donation. 2. The rabbi will say Shiva. 3. The family will approve an autopsy. 4. The patient may want to say the Shema or have it said for him.
A nurse teaches deep-breathing exercises to a preoperative patient. Which of the following accurately describes a step in this exercise?
A) Assist or place the patient in a supine position for the exercises. B) Instruct the patient to place the palms of both hands along the upper posterior rib cage. C) Instruct the patient to exhale gently and completely before breathing in. D) Instruct the patient to breathe in through the nose as deeply as possible and hold the breath for 10 seconds.
Which individual is the most likely to experience an unintentional poison exposure?
1. An infant 2. A 4-year-old child 3. A 12-year-old child 4. An adolescent
The pediatric nurse operates according to the standards of professional performance according to the American Nurses Association (ANA) Scope and Standards of Pediatric Nursing Practice Which statements accurately reflect these standards? Select all that apply.
A) The pediatric nurse uses research findings in practice and participates in the generation of new knowledge. B) The pediatric nurse plans and delivers safe, effective nursing care regardless of the cost and its impact on practice. C) The pediatric nurse acts as an advocate for the hospital staff, physicians, and other health care team members involved in care of the child. D) The pediatric nurse's decisions and actions in all areas of practice are determined in an ethical manner. E) The pediatric nurse collaborates with the child, family, and physician in providing care for the child. F) The health care administrators, not the pediatric nurses, are responsible for improving the quality and effectiveness of pediatric nursing practice.