Which of the following approaches is correct technique when wound irrigation is performed?
a. Placing the patient in supine position
b. Placing the syringe directly into the wound
c. Using sterile technique for a chronic wound
d. Selecting a soft catheter for deep wounds with small openings
D
If the patient has a deep wound with a narrow opening, attach a soft catheter to the syringe to permit the fluid to enter the wound. Position the patient comfortably to permit gravitational flow of irrigating solution through the wound and into the collection receptacle. Hold the syringe tip 2.5 cm (1 inch) above the upper end of the wound and over the area being cleansed; this prevents syringe contamination. Wound cleansing and irrigation are accomplished using sterile technique (surgical wounds) or clean technique (some chronic wounds).
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Which assessment finding would cause the greatest concern in providing nursing care to a client with mitral stenosis?
A) Decreased pulmonary pressure B) Increased cardiac output C) Decreased right ventricular pressure D) Increased left atrial pressure
A patient who sustained a gunshot wound walks into the emergency department and collapses. Which priority directions should the nurse who assumes this patient's care give to those coming to assist?
1. Check the airway. 2. Bring a wheelchair. 3. Put direct pressure on the wound. 4. Check for identification. 5. Check the pulse.
The nurse is considering attending a program that focuses on informatics. On which field will the curriculum most likely be based?
A) Clinical informatics B) Public health informatics C) Translational bioinformatics D) Consumer health informatics
After the cast on a client's fractured ulna has been changed to a bivalve cast, the nurse will alter the approach to care by
a. omitting vascular checks to the extremity. b. preventing pinching the extremity between the two halves. c. taking off both halves of the cast when x-ray films are ordered. d. taping the halves together with paper tape.