A diabetic client had gallbladder surgery 2 days ago. The nurse changing the dressing should use which intervention specifically related to the client's diabetes?
a. Dispose of the soiled dressings in an appropriate manner.
b. Use strict aseptic technique to avoid infection.
c. Record the amount, type, and characteristics of the drainage.
d. Only use paper tape to avoid skin injury.
B
All options are good postoperative nursing care interventions. However, the diabetic client is more susceptible to infection than other clients and dressing changes should be done with strict technique. Diabetic clients have impaired polymorphonuclear leukocyte function and damaged vascular systems that cannot carry sufficient oxygen, WBCs, nutrients, and antibodies to the in-fected site.
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The nurse is conducting a physical assessment of a middle-age client upon admission to the cardiovascular care unit for cardiopulmonary problems. Which position is likely to be contraindicated for this client?
A) Sitting with back unsupported B) Supine (horizontal recumbent) C) Dorsal recumbent (back-lying) D) Sims (side-lying)
The priority nursing diagnosis to formulate for a client with antisocial personality disorder who has
made threats against staff, ripped objects off walls, and thrown objects during 4 hours of hospitalization is a. disturbed sensory perception: auditory hallucinations. b. risk for other-directed violence. c. ineffective denial. d. social isolation.
The health care provider is reluctant to provide pain medication to a patient delivering a preterm fetus. What should the nurse explain to the patient as the reason for the preterm fetus being more affected by medication?
A) Affinity of the preterm fetus to fat-soluble drugs B) Inability of the immature liver to metabolize or inactivate drugs C) Affinity of the preterm fetus to drugs that are strongly bound to protein D) Inability of the preterm fetus to use drugs with a molecular weight over 1,000
To reduce transcription errors, the TJC published the "Do Not Use" list of abbreviation that are not to be
used on prescriptions and medication orders. Indicate whether the statement is true or false