The nurse identifies clients likely to have clean wounds, including:(Select all that apply) Standard Text: Select all that apply
1. A client with multiple contusions
2. A client with a fresh surgical wound
3. A client who was in a motorcycle accident
4. A client who has purulent drainage
5. A client with a laceration from a knife
1,2
Rationale: Contusions are closed wounds, and unlikely to be contaminated
You might also like to view...
The nurse is caring for a critically ill patient who has experienced multiple trauma. The patient has high levels of pain from the injury and is receiving an intravenous opioid as treatment
In managing the patient's pain, what nursing action best demonstrates understanding of other factors that exacerbate pain in the critically ill patient? A) Provide supportive care without discussing it with the patient. B) Limit visits to immediate family for a few minutes at a time. C) Minimize care tasks during normal hours of sleep. D) Give higher doses of intravenous opioid as needed.
The nurse is performing perineal care for the uncircumcised patient. Which of the following is true?
a. The foreskin should not be moved. b. The foreskin should be retracted, pulling it away from the body. c. The foreskin should be left retracted and allowed to return to position naturally after care. d. The foreskin should be retracted and returned to position by the nurse after cleaning, rinsing, and drying.
The nurse is gathering objective information about a client demonstrating depression. What should the nurse note about this client?
1. The client admits to loneliness. 2. The client walks erect with a bounce. 3. The client is wearing clean, pressed clothes. 4. The client walks with a shuffling gait.
Identify a symptom of Parkinson's disease.
A. Hypertension B. Decreased salivation C. Decreased sweating D. Hypotension