The nurse routinely uses a tracing graph of transparent film to assess the dimensions of wounds
What rationales would the nurse offer for this decision? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Using this film helps to document the shape of the wound.
2. Placement of this film helps to prevent infection from iatrogenic causes.
3. Having a visual representation of the wound offers a psychological boost to the patient.
4. These films help keep the wound dry.
5. These tracings show the progress of the wound surface contracture.
1,3,5
Rationale 1: Tracing graphs of transparent film, such as the E-Z Graph System of wound assessment, enable health care providers to outline the shape of the wound.
Rationale 2: Tracings are not left in place to prevent infection.
Rationale 3: For patients whose wounds are healing by millimeters, these tracings demonstrate the progress in wound healing and offer a great psychological boost
Rationale 4: Tracings are not used to keep wounds dry.
Rationale 5: Tracing graphs of transparent film, such as the E-Z Graph System of wound assessment, enable health care providers to track the progress of the wound surface contracture.
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The nurse is reinforcing patient teaching on the characteristics of scleroderma. Which of the following statements by the patient would indicate a correct understanding of the teaching? (Select all that apply.)
a. "Tissue inflammation caused by abnormal antibodies." b. "Butterfly rash." c. "Taut, shiny skin." d. "Pitting edema." e. "Telangiectasia." f. "Muscle weakness."
The nurse is instructing a patient on nutritional needs by using MyPlate. What should the nurse emphasize when using this food guide?
1. consuming nutrient-dense foods and beverages 2. ways to limit exposure to carcinogens 3. activities to reduce the onset of diabetes mellitus 4. avoiding overuse of aerobic exercise
Where would the procedures and treatments directed by the health care provider be found?
a. Summary sheet b. Physician's order form c. Physician's progress notes d. History and physical examination form
Which question by the nurse would best facilitate discussion of sexual concerns while minimizing the client's anxiety or embarrassment?
A) "Do you reach orgasm with each intercourse?" B) "Do you have any problems with your sexual performance?" C) "Do you have more than one sexual partner?" D) "Do you and your partner communicate about sex?"