An older patient is recovering from abdominal surgery. Which interventions will the nurse consider when planning care for this patient?
1. The wound should be kept covered with an antimicrobial dressing.
2. The wound dressing should be changed daily and kept dry.
3. There is a need to keep the wound edges taped.
4. Skin near the wound needs to be massaged to increase blood flow.
1. The wound should be kept covered with an antimicrobial dressing.
Explanation: 1. Wounds may have a high bacterial burden and may benefit from antimicrobial wound dressings containing silver, iodine, or polyhexamethylene (PHMB).
2. A dry wound surface impairs epithelial migration and leads to tissue injury and necrosis.
3. Taping the wound edges would cause damage to the skin. Taping should be limited.
4. Massaging the skin would cause further damage to the skin and delicate, new-skin growth.
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What is the function of T-cell lymphocytes?
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a. "Would you like me to contact our domestic violence advocate for you?" b. "Many of these issues are between you and your husband. Would you like to speak to a social worker?" c. "Is this the first time this has happened or is this an ongoing issue?" d. "The doctor will need to check you before we go any further."
Which of the following clients would cause the nurse the most concern?
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