A client with burns on his groin has developed blisters. As the client is bathing, a few blisters break. The best action for the nurse to take is to:
a) remove the raised skin because the blister has already broken.
b) wash the area with soap and water to disinfect it.
c) apply a weakened alcohol solution to clean the area.
d) clean the area with normal saline solution and cover it with a protective dressing.
Ans: d) clean the area with normal saline solution and cover it with a protective dressing.
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An experienced nurse is describing the characteristics of a therapeutic one-to-one relationship to a nursing student. Which of the following is the most accurate description?
1. The relationship between the nurse and client is reciprocal. 2. The nursing process is the cornerstone of the relationship. 3. The essential feature of the relationship is a therapeutic alliance. 4. The nurse must meet the client's needs throughout the relationship.
The nurse needs to evaluate arterial blood gases before the administration of which drug?
a. Calcium chloride b. Magnesium sulfate c. Potassium d. Sodium bicarbonate
A patient prescribed a drug for overactive bladder (OAB) tells you that he or she regularly exercises throughout the year. What would you be sure to teach him or her about exercising during summer heat?
a. "When the weather is hot, you are at increased risk for heat stroke." b. "During summer always exercise early in the day or after the sun goes down." c. "Exercise will help you lose weight which will help decrease your OAB symptoms." d. "Be sure to wear disposable pads to absorb any urine that leaks from your bladder while exercising."
The nurse working on a surgical unit would be most likely to assess signs consistent with the diagnosis of Body image disturbance in a client with which of the following health problems?
1. removal of a breast due to cancer 2. vascular surgery of the leg 3. removal of the gallbladder 4. wrist surgery for carpal tunnel syndrome