A patient has an open surgical wound on the abdomen that contains deep pink granulation tissue. How would the nurse document this wound?
a. Red wound
b. Yellow wound
c. Full-thickness wound
d. Stage III pressure ulcer
ANS: A
The description is consistent with a red wound. A stage III pressure ulcer would expose subcutaneous fat. A yellow wound would have creamy colored exudate. A full-thickness wound involves subcutaneous tissue, which is not indicated in the wound description.
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A client tells the nurse at a prenatal interview that she has quit smoking, only has a glass of wine with dinner, and has cut down on coffee to four cups a day. What response by the nurse will be most helpful in promoting a lifestyle change?
a. "You have made some good progress toward having a healthy baby. Let's talk about the changes you have made." b. "You need to do a lot better than that. You are still hurting your baby." c. "Here are some pamphlets for you to study. They will help you to find more ways to improve." d. "Those few things won't cause any trouble. Good for you."
The dosage ordered per m2 BSA will give you the desired dose
Indicate whether the statement is true or false
Alex experiences an apnoeic spell that is non-responsive to tactile stimulation. His heart rate is bradycardic and he is dusky. The midwife's first intervention should be:
a. give 100% oxygen by mask. b. prepare for intubation. c. suction the naso- and oropharynx. d. initiate cardiopulmonary resuscitation.
A neonate has had several episodes of vomiting. The arterial blood gas results are: pH 7.53; PCO2 42 mmHg; PO2 56 mmHg; Base excess 33 mEq/L. This blood gas represents:
a. borderline normal findings b. compensated metabolic acidosis c. metabolic alkalosis