Postoperative wound infection is a concern for S.P. Describe what you would do to monitor
her for a wound infection.
What will be an ideal response?
• Monitor VS at least every 4 hours.
• Monitor amount and character of drainage from incision.
• Monitor for indicators of joint infection, such as warmth, edema, decreased range of motion
(ROM), fever (which might not be present in the elderly), and purulent drainage.
• Monitor nutritional status—increased nutritional needs for healing.
• Monitor CBC with differential, erythrocyte sedimentation rate (ESR).
• Monitor LOC, restlessness, delirium.
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Insulin needs may increase due to which insulin antagonists? (Select all that apply.)
a. Corticosteroids b. Epinephrine c. Alcohol d. Thyroid hormone e. Oral contraceptives
A couple is in counseling related to their dysfunctional relationship. Their daughter has recently made a suicide gesture. The nurse should recognize that this might be an example of which family system concept?
A. Triangulation B. Pseudohostility C. Double-bind communication D. Pseudomutuality
What is the usual source of income for the majority of the elderly?
A. Investments and personal savings B. No income; live with their family, who support them C. Private pensions D. Social Security
You are using a fire extinguisher. The hose should be directed at the
a. top of the fire b. middle of the fire c. base of the fire d. area around the fire