A student nurse is providing care for a patient who is returning from the recovery room after a total hip replacement. During an initial assessment, the student notes serosanguineous drainage on the dressing. The student should
1. Remove the dressing and assess the wound site.
2. Draw a line around the drainage and write the time, date, and his or her initials on the dressing.
3. Notify the nursing instructor of the finding.
4. Document the finding in the chart.
ANS: 2
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A nurse is discussing proper nutrition with clients at a senior citizen center. General guidelines for healthy elderly clients should include
A) increased amount of protein foods in the diet. B) taking a geriatric vitamin or mineral supplement daily. C) daily including at least 8 cups of fluids (excluding caffeinated and alcoholic beverages). D) eliminating fat from the diet because of a decrease in physical activity.
A client with somatoform disorder has become enraged with his coworker. What would be a common threat for the client to make in order to manipulate his coworker into meeting his needs?
A) Quitting his job B) Going on a hunger strike C) To kill himself D) To kill someone else
A patient has been admitted to a burn intensive care unit with extensive full-thickness burns over 25% of their body. What would be the nurse's priority concern in the immediate care of this patient?
A) Fluid status B) Risk of infection C) Body image D) Anxiety
A patient is brought to the emergency department with gunshot wounds to the abdomen and lower extremities. To protect the chain of evidence for these injuries, what should the nurse do?
A. Cover the patient's hands with plastic bags. B. Cut off the patient's clothing and bathe the skin and wounds as soon as possible. C. Place clothing and other patient items on a bedside table and have a nursing assistant remove them when possible. D. Remove the patient's clothing and place in a breathable bag.