The nurse is caring for a patient who requires a complex dressing change. While in the patient's room, the nurse decides to change the dressing. What does the nurse do just before changing the dressing?
a. Assesses the patient's readiness for the procedure
b. Gathers and organizes needed supplies
c. Decides on goals and outcomes for the patient
d. Calls for assistance from another nursing staff member
A
The nurse needs to assess the patient's readiness and willingness for any procedure before intervening. After determining the patient's readiness for the dressing change, the nurse gathers needed supplies. The nurse establishes goals and outcomes before intervening. Before entering the patient's room, the nurse needs to ask another staff member to help if necessary.
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The clinic nurse listens closely as Tina, a mother of two, describes her husband's dependence on oxycodone terephthalate (Percocet), which began following knee surgery last year
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The nurse is preparing to change a moist-to-dry dressing on a patient. After correctly identifying the patient, what is the next most appropriate step for the nurse to perform?
a. Assess patient/family's knowledge of the purpose of the dressing change. b. Assess the dressing for the presence of drainage. c. Ask the patient to rate his or her wound pain. d. Review the order for the type of dressing.
It is recommended that new graduates who are studying for the NCLEX-RN exam focus on three areas. Which of the following is not one of these three areas?
a. NCLEX knowledge review b. NCLEX test question practice c. NCLEX skill practice d. test-anxiety control