A nurse is changing the dry sterile dressing of a post-colectomy client. Which precaution
should the nurse take when performing this procedure?
A) Prepare strips of tape before beginning the procedure
B) Cleanse wound with alcohol or soap
C) Cleanse the wound from outside to center
D) Keep the wound as moist as possible
A
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A 72-year-old woman has been diagnosed with osteoporosis and has begun taking alendronate (Fosamax). The nurse should be aware that this drug can increase the woman's bone density by which of the following means?
A) Decreasing renal excretion of calcium B) Increasing the binding of vitamin D to calcium ions C) Suppressing the function of osteoclasts D) Enhancing the function of osteoblasts
The nurse assesses fatigue in an infant with acute bronchiolitis due to respiratory syncytial virus (RSV). Which nursing diagnosis would be most appropriate for the infant?
A) Acute Pain B) Ineffective Tissue Perfusion C) Activity Intolerance D) Decreased Cardiac Output
An HIV-infected patient presents at the clinic for a CD4+ count. The results of the test are 45 cells/?L. You know the patient is at increased risk for mycobacterium avium complex (MAC disease)
As the nurse caring for this patient, you would know that the preferred prophylactic agent for MAC disease is what? A) Zithromax B) Vancomycin C) Levaquin D) Amphyterracin B
The nurse is caring for a patient with gastroesophageal reflux disease (GERD). What should the nurse include when teaching the patient about this health problem?
Select all that apply. 1. Limit last food intake to 3 hours before bedtime. 2. Eat the largest meal of the day at midday. 3. Sleep in a bed with the head elevated 6 to 8 inches. 4. Follow a daily exercise routine. 5. Drink coffee with meals.