A nurse is caring for a patient with a wound. Which assessment data will be most important for the nurse to gather with regard to wound healing?
a. Muscular strength assessment
b. Pulse oximetry assessment
c. Sensation assessment
d. Sleep assessment
ANS: B
Oxygen fuels the cellular functions essential to the healing process; the ability to perfuse tissues with adequate amounts of oxygenated blood is critical in wound healing. Pulse oximetry measures the oxygen saturation of blood. Assessment of muscular strength and sensation, although useful for fitness and mobility testing, does not provide any data with regard to wound healing. Sleep, although important for rest and for integration of learning and restoration of cognitive function, does not provide any data with regard to wound healing.
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A nurse is caring for a patient who has just returned from the ERCP removal of gallstones. What would the nurse know to monitor the patient for?
A) Pain B) Development of pancreatitis C) Puncture D) Development of gangrene of the gallbladder
When comparing a drug that has a strong attraction to albumin with one that has a weaker attraction, the nurse would anticipate that the distribution of the drug with the strong attraction would be:
A. higher than the distribution of the drug with the weaker attraction. B. no different from the distribution of the drug with the weaker attraction. C. lower than the distribution of the drug with the weaker attraction. D. decreased by the presence of a drug that displaces the drug from the albumin.
The dosage unit for this drug is tablets
Indicate whether the statement is true or false
Unfreezing is the first stage of Lewin's theory of change. An example of this stage in nurses is:
A. Using a new acuity system B. Having frequent staff meetings to discuss a possible change C. Accepting the new documentation method D. Evaluating the newly implemented pro-cedure