An older patient is recovering from abdominal surgery. Which skin changes will the nurse consider when planning care for this patient?

1. The healing time is increased.
2. The healing time is decreased.
3. There is a need to keep the wound edges taped.
4. Skin near the wound needs to be massaged to increase blood flow.


1
Rationale: Epidermal mitosis slows 30% after the age of 50, resulting in longer healing time for older persons.

Nursing

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Mitral commissurotomy has which of the following advantages over mitral valve replacement?

1 . eliminates the need for anticoagulation on warfarin 2 . reduces the risk of endocarditis 3 . decreases need for reoperation 4 . replaces all mitral valve replacement surgeries 5 . decreases risk of stroke 6 . increases survival rates A) 1, 2, and 3 B) 2, 3, and 4 C) 1, 5, and 6 D) All of the above are correct.

Nursing

A patient who has been prescribed sertraline (Zoloft) reports to the nurse that she uses St. John's Wort. What danger does the nurse recognize?

1. Tardive dyskinesia 2. Serotonin syndrome 3. Stevens-Johnson rash 4. Anaphylactic reaction

Nursing

A patient has returned to the floor from the PACU after undergoing a suprapubic prostatectomy. The nurse notes urine leakage around the suprapubic tube. How should the nurse follow up this finding?

A) Give meticulous aseptic care to and around the suprapubic tube B) Call the urologist immediately C) Remove the suprapubic tube D) Administer antispasmodic drugs as ordered

Nursing

The nurse is caring for a client with potentially life-threatening digoxin toxicity and prepares to administer:

a. lidocaine. c. naltrexone. b. digoxin immune fab. d. potassium.

Nursing