The nurse admits a client for treatment of a pressure ulcer and needs to establish an environment to promote wound healing. Which is the nurse least likely to include for a holistic treatment ap-proach?
1. Systematic client support
2. Wound care management
3. Primary intention healing
4. Causative factor elimination
3
3. The nurse is unlikely to use healing by primary intention for pressure ulcer treat-ment because it involves wound healing established by surgical closure of clean wound edges. A pressure ulcer is more likely to be deeper than a partial-thickness wound and contaminated with irregular wound edges; thus, surgical closure is con-traindicated until the wound is debrided.
1, 2, and 4. The healing environment includes systematic client support, reduction of causative factors, and wound management. Successful wound healing depends on this approach to optimize client nutritional, cardiovascular, immunological, and me-tabolic status.
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A 25-year-old single female comes to the gynecologist's office for a follow-up visit re-lated to her abnormal Papanicolaou (Pap) test. The test revealed that the woman has hu-man papillomavirus (HPV)
The woman asks, "What is that? Can you get rid of it?" Your best response is: a. "It's just a little lump on your cervix. We can freeze it off." b. "HPV stands for ‘human papillomavirus.' It is a sexually transmitted infection (STI) that may lead to cervical cancer." c. "HPV is a type of early human immunodeficiency virus (HIV). You will die from this." d. "You probably caught this from your current boyfriend. He should get tested for this."
Which statement indicates that the nurse understands the risks associated with herbal prepara-tions?
a. Herbs are guaranteed to be safe and effec-tive but are not necessarily natural. b. Herbs require a different type of prescrip-tion than is required for standard pre-scribed medications. c. Herbs are not classified as drugs and are regulated less strictly by the U.S. Food and Drug Administration (FDA). d. Herbs are guaranteed to be all natural and of high quality but are not necessarily ef-fective.
A nurse is sitting near a client while conducting a health history. The client keeps edging away from the nurse. What might this mean in terms of personal space?
A) The nurse is outside the client's personal space. B) The nurse is in the client's personal space. C) The client does not like the nurse. D) The client has concerns about the questions.
A woman who is three months pregnant enjoys a slow, long walk daily. What should the nurse advise the patient about this walking program?
A) Reduce walking to half a block daily B) Continue this as long as she enjoys it C) Stop and rest every block D) Engage in aerobics for greater benefits