On inspection of the client's wound, the nurse notes that it appears infected and has a large amount of exudate. An appropriate dressing for the nurse to select based on the wound assessment is:
A. Foam
B. Hydrogel
C. Hydrocolloid
D. Transparent film
A
A. Foam dressings absorb exudate and debris while maintaining a moist environment. Topical agents, such as antibiotic ointment, also may be used with foam dressings. This would be the most appropriate type of dressing for this wound.
B. A hydrogel dressing provides moisture to a clean granular wound. A hydrogel dressing would not be appropriate for a wound with a large amount of exudate.
C. A hydrocolloid dressing interacts with the wound fluid to provide a moist environment. Hydrocolloid dressings may stay in place until the seal is broken. It would not be appropriate for a wound with a large amount of exudate that appears infected.
D. Transparent film protects from friction injury and may be left in place up to 7 days. It would not be appropriate for a wound with a large amount of exudate that appears infected.
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A patient has a tumor of the spinal cord and is administered a corticosteroid. What statement by the patient demonstrates an accurate understanding of this treatment?
A) "This drug will cause my tumor to be more susceptible to treatment." B) "This drug will decrease my chance of infection and meningitis." C) "This drug won't cure my cancer, but it may help me feel much better." D) "This drug will stop my cancer cells from growing further."
Convert the clock time of 5:15 AM to military (24-hour) time: _____
a. 1550 b. 0515 c. 1715 d. 0725
A young adult pregnant client tells the nurse that she and her husband are going to a 50th wedding anniversary party for her grandparents this weekend. The client asks the nurse if it will be okay to have a few glasses of wine at the party. Which response
A) "Drinking a few glasses of wine will not be a problem." B) "Alcohol during pregnancy can cause the baby to be born without limbs." C) "Drinking any alcoholic beverages during pregnancy puts your baby at risk for injury." D) "Wine is acceptable but not hard liquor."
In order to help prevent the side effect of neuroleptic malignant syndrome (NMS), the nurse should monitor the client for:
1. dehydration. 2. constipation. 3. excess fluid intake. 4. overeating.