Upon answering a patient's call light, a nurse finds that the patient's wound has eviscerated. The nurse's first action is to
1. Prepare to do a dressing change with sterile Kerlix gauze.
2. Call the physician and collect sterile towels and saline.
3. Cover the wound with sterile dressings soaked in saline.
4. Obtain samples of purulent drainage and send them to the laboratory.
ANS: 3
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A woman is in her seventh month of pregnancy. She has been complaining of nasal con-gestion and occasional epistaxis. The nurse suspects that:
a. This is a normal respiratory change in pregnancy caused by elevated levels of es-trogen. b. This is an abnormal cardiovascular change, and the nosebleeds are an ominous sign. c. The woman is a victim of domestic violence and is being hit in the face by her partner. d. The woman has been using cocaine intranasally.
The nurse assesses that a 2-year-old who cries continuously after his mother leaves, watches the door for her return, and then finally exhausts himself and goes to sleep is in the separation anxiety phase of:
a. Despair b. Denial c. Protest d. Depression
A postsurgical and closed bed may be left in the highest position depending on the circumstances and the facility's policy
Indicate whether the statement is true or false.
Antibodies that react against the A and B antigens are naturally present in the plasma of people whose red blood cells do not carry the antigen. These antibodies react against the foreign antigens
Incompatible red blood cells clump together or _____________, which results in a life-threatening hemolytic transfusion reaction. Fill in the blank(s) with correct word