The nurse assessing a patient's wound notes a clear watery drainage. The nurse documents this finding as:
a. serous drainage.
b. purulent drainage.
c. sanguineous drainage.
d. serosanguineous drainage.
A
Serous drainage has the appearance of clear, watery plasma. Purulent drainage has the appearance of thick, yellow, green, tan, or brown drainage. Sanguineous drainage is bright red and indicates active bleeding. Serosanguineous drainage is pale, red, and watery and is a mixture of serous and sanguineous drainage.
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Nurses who wish to use hypnosis in their practice:
1. Recognize that hypnosis is an advanced intervention that requires specialized training in hypnotherapy. 2. Are qualified to do so if they can effectively use guided meditation. 3. Do not need special training in hypnosis. 4. Do not need to be concerned with whether or not hypnosis is within the scope of nursing practice.
A nurse caring for a patient who is receiving large volumes of crystalloid fluid as a result of shock should monitor the patient for symptoms of:
A) Hypothermia B) Bradycardia C) Coffee-ground emesis D) Pain
The nurse has a patient with a tunneled central line with a triple-lumen catheter. The insertion site is covered by an occlusive dressing with yesterday's date on it. The nurse is to give an IV drug through the central line
The nurse would initially: 1. use any of the three ports for delivery. 2. change the occlusive dressing. 3. affirm catheter placement by withdrawing 3 mL of blood. 4. check dilution of the drug.
Which assessment question demonstrates knowledge of possible risk factors for the de-velopment of a paraphilic disorder?
a. "When were you first diagnosed with schizophrenia?" b. "Are you aware of a family history of obsessive-compulsive disorder?" c. "When did you begin relying on printed pornography as a sexual stimulant?" d. "Why do you find it difficult to take your prescribed antianxiety medication?"