The nurse suspects that a patient's wound is healing slowly because of poor oxygen perfusion to the tissues. Which of the following would interfere with oxygen delivery to aid in the healing of this patient's wound?
1. smoking
2. gastritis
3. alcohol consumption
4. reduced activity
1
Rationale: Smoking adversely affects wound healing. Nicotine causes vasoconstriction and decreased tissue perfusion. Carbon monoxide combines with hemoglobin, inhibits the binding with oxygen, and decreases the oxygen-carrying capacity of hemoglobin; all contribute to decreased oxygen delivery to wound beds. Smoking also increases platelet adhesiveness, making them more "sticky," leading to microclots in small vessels that decrease oxygen delivery. The other choices are not known to interfere with oxygen perfusion to the tissues.
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Which aspect of an Emergency Medical Services system is most indicative that EMS providers are prepared to provide emergency care to children?
1. Placement of small stretchers in emergency vehicles 2. Lists of hospitals in the area that treat children 3. Staff education related to assessment and treatment of children of all ages 4. Pediatric-size equipment and supplies
The identification of a disease or condition by a scientific evaluation of physical signs, symptoms, history, laboratory tests, and procedures is known as a _________ _______
ANS:
The mental health nurse is conducting an assessment interview with a new client. What should this initial assessment be directed toward? (Mark all that apply.)
A) What substance was first used B) Type of substance being used C) Amount and frequency of use D) Method of administration E) Length of time between uses
EBP has a basis in ethical principles. However, not all approaches used to improve quality are evidenced based or ethical. Evidence-based approaches would provide all necessary information such as length of time to apply heat and medication to use in the
1. spiritual needs 2. measuring intake and output 3. daily weights 4. ambulating with assistance