When planning the care for a client with a surgical wound, the nurse includes the goal:
1. Discharge to home as soon as possible.
2. Increase ambulation.
3. Regain intact skin.
4. Resume independent activities of daily living.
3. Regain intact skin.
Rationale:
The client has impaired skin integrity because of a surgical wound. A goal of care would be for the client to have wound healing to achieve intact skin. Discharging the client to home may or may not be appropriate. The client may or may not be able to ambulate or perform independent activities of daily living.
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A nurse should question an order for fludrocortisone for which of the following patients?
A) A 65-year-old female with an acute respiratory disease B) A 20-year-old male with urticaria C) A 52-year-old female with hyperlipidemia D) A 30-year-old male with a systemic fungal infection
The client with heart failure has been ordered to receive a daily nitroglycerin transdermal patch. What action taken by the nurse would help avoid tolerance to the vasodilating effects of this medication?
A. Place an occlusive dressing over the patch. B. Remove the patch overnight. C. Rotate the skin site of nitroglycerin administration. D. Administer a larger loading dose before the initiation of therapy.
A physician has ordered peak and trough levels of a medication. When would the nurse schedule the trough level specimen?
A) before administering the first dose C) 30 minutes before the next dose B) immediately after the first dose D) 24 hours after the last dose
Social support is described as ______.
a. the patient’s social contacts b. social worker involvement c. informal support from healthcare staff d. patient’s social network and the resources they provide