The nurse teaches the client about Steri-Strips after suture removal. Which does the nurse include in client teaching?
1. Presents a skin barrier
2. Provides gentle support
3. Prevents scarring of wound
4. Collects additional drainage
2
2. Steri-Strips provide continued support to the incision after removing sutures or staples. The nurse instructs the client to expect the Steri-Strips to curl up and eventually fall off the skin and instructs the client not to remove them.
1. Steri-Strips do not provide a barrier because the nurse applies them a short distance from one another along the incision.
3. Steri-Strips do not prevent scarring because scarring is determined by the site, method of skin closure, and client status.
4. Steri-Strips potentially absorb a drop or two of drainage.
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Fill in the blank(s) with correct word
A young woman was brought into the emergency department by a friend after she had been assaulted outside of a movie theater. When questioned by the nurse, the young woman stated, "I'm not sure what happened. I just want to go home"
The nurse recognizes that the experience was traumatic for the young woman and hypothesized that the woman was using which of the following to cope with her experience? a. faked amnesia b. denial c. anger d. frustration
The client has begun taking phenelzine (Nardil). At the initiation of therapy, which of the following items does the nurse teach the client to allow in the diet? Select all that apply
1. Avocados 2. Figs and raisins 3. Bologna or salami 4. Carrots or radishes 5. Sweet potatoes and squash 6. Red wine, such as Chianti or sherry
The nurse is caring for a patient with an order for an "open dressing." Which action indicates that the nurse accurately understands the order?
a. The nurse leaves the entire lesion open to air. b. The nurse changes wet compresses fre-quently enough to keep them wet. c. The nurse applies medicated ointment di-rectly in the open wound. d. The nurse applies dressings to the peri-meter of the wound while leaving the center of the wound open to air.