An appropriate procedure for the nurse to implement for the application of an absorption or alginate dressing is to:
A. Never cut the dressing to fit the wound
B. Irrigate the wound gently to remove residual gel
C. Fill the wound cavity entirely with the dressing material
D. Dispose of old dressings in the waste container in the client's room
B
B. Cleanse area gently with moist 4 × 4 sterile gauze pads, swabbing exudate away from wound, or spray with wound cleanser. Cleansing effectively removes any residual dressing gel without injuring newly formed delicate granulation tissue formed in the healing wound bed.
A. With some brands, dressings can be trimmed to fit wound size, whereas other brands of dressings cannot be cut.
C. Fill wound cavity, but fill one-half to two-thirds full to allow for expansion with absorption
D. Dispose of soiled dressings in waterproof bag. Remove disposable gloves by pulling them inside out, and dispose of them in waterproof bag. Avoid having client see old dressing because the sight of wound drainage may be upsetting to the client.
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The nurse is caring for a patient with an electrical injury. The nurse understands that patients with electrical injury are at a high risk for acute kidney injury secondary to:
a. hypervolemia from burn resuscitation. b. increased incidence of ureteral stones. c. nephrotoxic antibiotics for prevention of infection. d. release of myoglobin from injured tissues.
The nurse is assessing an acutely ill patient. When prioritizing the patient's care, the nurse should recognize that the patient is at risk for hypovolemic shock when:
A) Fluid circulating in the blood vessels decreases. B) Cardiac output is increased. C) Blood pressure increases. D) Pulse is fast and bounding.
A ______ __________ wound is a loss of the epidermis and superficial dermal layers and heals by regeneration
Fill in the blank(s) with correct word
The nurse assesses a client as experiencing severe pain. Which intervention would be the most applicable for the client at this time?
1. Provide NSAID medication as prescribed. 2. Coach the client with guided imagery. 3. Suggest the client read or watch television until the pain subsides. 4. Provide opioid analgesic as prescribed.