A nurse who is providing care for a patient with a large abdominal wound removes the dressing and notes that the wound has dehisced. The nurse should

1. Cover the wound with a large sterile dressing.
2. Pour sterile saline into the wound bed.
3. Notify the supervisor.
4. Ask the patient, "Did you feel anything pop open?"


ANS: 1

Nursing

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One of the goals of the American Nurses Association (ANA) is to promote ________________ of nursing care in the United States

Answer:

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An older adult is having difficulty sleeping and asks a nurse, "My neighbor told me that I should take melatonin to help me sleep. What do you think about this?" The nurse responds to the indi-vidual's question using the knowledge that:

(Select all that apply.) a. in the natural state melatonin is produced by the pineal gland and regulates the sleep-wake cycle. b. melatonin is available in both immediate and extended release forms; however, on-ly the immediate form is effective. c. there are no significant adverse effects to melatonin. d. it must be used with caution in a patient that is taking other medications that have central nervous system depressant effects. e. evidence shows that it is effective at de-creasing sleep onset latency, improving quality of sleep, and improving morning wakefulness.

Nursing

Some nurses are debating about the appropriate action to take in relation to a particular family. The father is ill, and the other family members have chosen to continue working rather than take time off to care for the ill family member

One nurse states, "It is a wife's responsibility to care for an ill husband." Which of the following ethical approaches is being used by this nurse? a. Consequentialism b. Communitarianism c. Deontological ethics d. Principlism

Nursing

Which clients on erythromycin will the nurse monitor closely for drug–drug interactions?

Standard Text: Select all that apply. 1. Client wearing a fentanyl patch for chronic pain syndrome 2. Client taking theophylline for chronic obstructive pulmonary disease 3. Recovering heroin addict who takes methadone daily 4. Client using topical neomycin for wound infection 5. Client who is 4 months pregnant and taking prenatal vitamins

Nursing