The patient's wound is being treated with vacuum-assisted wound closure (negative pressure therapy, or VAC)
The nurse notices that the edge of the dressing is loose and torn, the foam in the wound has expanded, and wound drainage is leaking through the loose edge. What is the best nursing action?
A) Reinforce dressing with additional foam packing.
B) Reinforce transparent adhesive dressing.
C) Discontinue suction on the wound to prevent maceration.
D) Completely redress the wound with new materials.
D
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The LPN/LVN makes nursing decisions based on critical thinking and
1. Scientific data 2. Opinions 3. Judgements 4. Assumptions 5.
Cultural assessments allow the health care provider to understand the unique beliefs clients may have regarding mental illness and how they cope. Key areas to assess include: (Select all that apply.)
a. Communication b. Space and territory c. Biological orientation d. Defense mechanisms e. Social orientation
Alan was diving off cliffs with his friends. He slipped as he jumped and landed his head first into the pool of water below. As he entered the water head first, he hit his head on a rock and sustained a spinal cord injury
Two vertebras in his neck were fractured, and his spinal cord was permanently damaged. a. Alan was told he was in spinal shock for a month after the incident. What is spinal shock? b. Alan also doesn't understand what autonomic dysreflexia is. How can you explain it so he understands what is happening to him? c. Alan also asks you about the spasms and contractures he frequently is having. d. What other things can Alan expect with this new adjustment he has to make with his body and lifestyle?
It is important for the nurse giving a vaccine to know whether the patient has an allergy to eggs and feathers for which of the following reasons?
A. many biologic agents come from chick embryos B. viruses are found in all eggs C. chicken egg cells are close to human cells D. there is clotted blood in egg cells