The nurse is irrigating a leg wound of a patient on the trauma unit. Where should the nurse direct the flow of the irrigant?
a. From the area of least contamination to the area of most contamination
b. Forcefully into the wound
c. Gently over the skin into the wound
d. From a distance of about 12 inches
ANS: A
The irrigant should flow from the least contaminated area to the most contaminated area to prevent microorganisms from entering the wound.
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A patient's lab results show a slight decrease in potassium. The physician has declined to treat with drug therapy but has suggested increasing potassium through diet. Which of the following would be a good source of potassium?
A) Apples B) Asparagus C) Carrots D) Bananas
A nurse suspects that an elderly person has been physically abused. According to research, which person would be the most likely abuser?
1. The person's paid caregiver 2. Someone previously unknown to the person 3. The individual's adult child 4. The person's neighbor
The nurse admits a client who self-injures and needs intensive supervision. Which should the nurse include in the end-of-shift report?
1. "The client cried off and on all day.". 2. "The client's family is not concerned.". 3. "The client might try something drastic.". 4. "The client in room 204 is a real problem.".
Within an energy field perspective, nurses in mutual process assist clients in
A. Negotiating their plan of care. B. Actualizing their field potentials by enhancing their ability to participate knowingly in change. C. Being supported until the client can perform self-care. D. Client-centered cooperative decision-making.