The nurse is performing a wound assessment after removing the soiled dressing. What finding would indicate a problem requiring additional assessment?
a. An incisional ridge continues to be present.
b. The patient experiences less discomfort.
c. There is a lack of new drainage.
d. The patient states, "My wound smells funny.".
D
The nurse would need to evaluate the wound for clinical indicators for infection since an odd smell may indicate a developing infection. A wound culture may be required. Ridge formation, decreased discomfort, and lack of drainage are consistent with clinical indicators of a healing surgical incision without infection.
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The daughter of a severely depressed patient asks the nurse "What do you think about the relationship between depression and physical illness? Since my mother has been grieving over my father's death, she has had colds, shingles, and the flu, and
she's usually not one to get sick.". The answer that best reflects the current thinking about psychoimmunology is: a. "It is probably a coincidence. Not much evidence is available that emotions like grieving make one prone to physical illnesses.". b. "You might be paying more attention to your mother since your father died, and you are noticing more things such as minor illnesses.". c. "So far, the research on emotions or stress and becoming ill more easily is unclear—we just do not know for sure if there is a link.". d. "Emotions and stress are believed to interfere with white blood cell production and can increase the likelihood of infectious diseases.".
A woman returns to an abusive relationship despite being referred to a shelter by the community/public health nurse. Which of the following explains why the client would not accept this referral? (Select all that apply.)
a. If she attempts to leave, the man's reprisals may be even worse. b. She may lack money, skill, or employment opportunities. c. She secretly enjoys being dominated, like many victims of abuse. d. She believes marriage is forever and divorce demonstrates failure. e. If she moves to a shelter, she will not be safe there. f. She enjoys having a strong man be responsible for her life.
To which entity should the home health nurse make a referral in order to supply a home-bound older adult with a daily meal?
a. A community food bank b. The Salvation Army c. An agency supplying food stamps d. Meals on Wheels
The nurse observes a patient breathing through an open mouth. Which function is being bypassed by mouth breathing?
A. Cooling the air B. Separating the air C. Neutralizing the air D. Filtering the air