When performing a wet to moist dressing, the nurse should:
a. apply a wet dressing to the wound for 30 minutes, remove the wet dressing and then apply a dry sterile dressing.
b. apply wet soaks and cover with a dry dressing.
c. irrigate the wound with prescribed irrigant and apply a dry sterile dressing.
d. gently pack the wound with slightly moist gauze and cover with a dry sterile gauze.
ANS: D
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The nurse pours the medication ordered for the client. The nurse asks the nurse assistant to give the medication when the client receives breakfast. This is an example of:
1. Ineffective delegation. 2. Negligence. 3. Underdelegation. 4. Unnecessary duplication.
Which of the following are considered the most important determinants of a healthy community? (Select all that apply.)
a. Child-friendly neighborhoods
b. Several different choices of houses of worship
c. Employment opportunities
d. Low crime rate
e. Safe food and water supplies
f. Varied housing choices
Which clients would the nurse consider as candidates for an enteral access device?
Select all that apply. 1. The client who is NPO in preparation for surgery 2. The client with an absent cough and gag reflex 3. The postoperative client who returns to the unit following bowel resection who is unconscious secondary to sedation 4. The client who has dysphagia and is unable to eat orally 5. The client who overdosed on an oral medication
A 15-year-old female adolescent's body mass index (BMI) is 27.5. The adolescent's height is 5 feet, 2 inches, and she weighs 160 pounds. The girl's menses began when she was 12 years old. School performance has been spotty
The priority client teaching would be related to: 1. Nutritional intake. 2. School performance. 3. Adolescent Mini Mental Health Status Examination. 4. Menstrual cycle.