The nurse is changing a film dressing over a wound that is showing a large amount of drainage. How should the nurse proceed?
a. Apply a film dressing after culturing the wound.
b. Apply a film dressing after cleansing the area.
c. Choose another type of dressing for this wound.
d. Keep the wound open to air.
C
If the wound has a large amount of drainage, choose another dressing that can absorb this amount of wound drainage, rather than transparent film dressing, which can absorb only light to moderate amounts of drainage. Explain to the patient and family that collection of wound fluid under the dressing is not "pus," but rather is a result of normal interaction of body fluids with the dressing.
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A 27-year-old patient is hospitalized with new onset of Guillain-Barré syndrome. The most essential assessment for the nurse to carry out is
a. determining level of consciousness. b. checking strength of the extremities. c. observing respiratory rate and effort. d. monitoring the cardiac rate and rhythm.
The functions of amniotic fluid include:
a. Restricting fetal movement b. Maintaining a constant temperature for the fetus c. Preventing adherence of the amnion to the chorion d. Exchanging materials between the blood of the mother and the fetus
A complex partial seizure is described as:
a. Alternating of tonic and clonic movements b. Impairment of both consciousness and the ability to react to exogenous stimuli c. Focal motor movement without loss of consciousness d. One seizure followed by another in less than 1 minute