The nurse suspects that a client's pressure ulcer on the right hip is tunneling. Which of the following should the nurse do to thoroughly assess this wound?
a. Wait until the wound is debrided to determine if tunneling is present.
b. Insert a sterile cotton swab into the deepest point of the wound to determine depth.
c. Apply a wet to dry dressing to see if the gauze adheres to the wound.
d. Measure the wound from top to bottom and left to right.
ANS: B
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Nurses who work on a medical unit do not have personal professional liability coverage. In the event of a lawsuit, which options are true? Choose all that are correct
1. They can be covered under the employer's insurance policy. 2. They need to contact their own attorneys. 3. They will be covered under the professionals' group policy. 4. They may be refused coverage under the employer's insurance policy. 5. They will be covered with their state's Emergency Health Care Providers policy.
Which one of the following conditions is consistent with Brown-Séquard syndrome?
a. Central sensory loss that is generalized b. Motor paralysis on the lesion side of the body c. Multiple peripheral neuropathy of the joints d. Spinal root paralysis below the umbilicus
A client has been receiving home care for several weeks. Which individual should the nurse realize is responsible for ensuring that the client is receiving care at the appropriate times and in the appropriate amounts?
1. Client 2. Nurse 3. Physician 4. Client's spouse