A client is diagnosed with venous leg ulcers. The nurse would expect that these wounds will heal by which of the following types of intention?
1. Primary
2. Secondary
3. Tertiary
4. Quaternary
2
Primary intention type of healing occurs in wounds that are clean, and have little loss of tissue. Secondary intention occurs when a wound heals by spread of granulation tissue from the base of a wound. Venous leg ulcers heal by secondary intention. In tertiary intention, the wound must be sutured through several layers of granulation tissue in order to bring closure. Quaternary is not a type of wound healing.
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An older patient being treated for intermittent pain is complaining of increased pain despite being started on a new pain management plan. What should the nurse do to help this patient?
A) Discussing alternative methods of pain management B) Identifying underlying factors that could be interfering with the current plan C) Reevaluating and setting realistic, specific goals for the pain management plan D) Discussing with the pain management team about increasing the dosage of the medication
The occupational health nurse is conducting yearly vision and hearing screenings. A 50-year-old man states, "My father had colon cancer. I really don't understand why they recommend a colonoscopy."
The occupational health nurse explains the need for a colonoscopy and provides the patient with additional written information. What could the nurse do to provide information to more individuals? A) Plan a health fair for the employees that provides information about age-related diseases. B) Refer every employee over the age of 50 to a gastroenterologist for a screening colonoscopy. C) Provide instruction on diet and exercise as it relates to the prevention of colon cancer in people over 50. D) Place brochures in the nurses' facility for the employees to access in answering their questions.
A client with a flare-up of atopic dermatitis is exhibiting xerosis. Which action by the nurse will be most helpful?
A) Place the client in a hot bath. B) Apply moisturizer liberally. C) Wrap affected areas in dry dressings. D) Use a warm-mist humidifier.
While caring for a family who lost a 10-year-old son in a car accident, the nurse should instruct the parents to tell the remaining 4-year-old girl that her brother has:
A) Died and is not coming back. B) Passed on to the other side. C) Departed on a long journey. D) Gone to see the Lord above.