List three reasons why haemostasis is essential in surgical procedures
John North, 53, has a history of type I diabetes mellitus, cigarette smoking (40 pack years), coronary artery disease (CAD) and peripheral vascular disease (PVD). Six weeks ago, he developed a wound on his left heel that measured 4 cm by 2 cm. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a below knee amputation (BKA) of the left lower extremity tomorrow at 10 am. His meds include daily insulin, aspirin 325 mg/day and Pletal (cilostazol) 100 mg b.i.d. He has an advanced directive and no known drug allergies (NKDA).
What will be an ideal response?
Answer:
Prevent haemorrhage
Allow visualisation
Promote wound healing
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A parent reports that his 7-year-old child is very short compared to his peers, and his teeth came in slowly when he was younger. After searching the Internet the parent is worried about growth hormone deficiency (GHD)
Which response by the nurse is the most appropriate? A. "GHD is the only cause of the symptoms you describe." B. "Has your child ever had his thyroid evaluated?" C. "I will refer your child to an endocrinologist right away." D. "What did the dentist say about his teeth being delayed?"
A client is seeking treatment for a specific phobia: fear of cats. The nurse in the anxiety disorders
clinic has established the nursing diagnosis of anxiety related to exposure to phobic object (cats). A realistic indicator for the outcome anxiety self-control would be that within 10 days, the client will a. avoid the feared object whenever possible. b. face the feared object without supportive assistance. c. state that the fear of cats is unrealistic and inappropriate. d. practice relaxation techniques and report decreased physiological sensations associated with thoughts of the feared object.
The ED triage nurse identifies the client who can have treatment delayed for a few hours as the client with a
a. avulsed (knocked-out) tooth. b. broken finger. c. head injury from a fall. d. large laceration that needs suturing.
An urgent care nurse is triaging clients. Which client statements may indicate that medications are being misused?
1. "I was feeling really great so I stopped taking my antibiotic and now I feel feverish." 2. "My retirement check didn't come in over the holiday weekend so I didn't have the money to get my antihypertension medication refilled. I just took one every other day instead of every day." 3. "I really thought I would get better quicker if I took the medication four times a day instead of two times a day. Now, I have diarrhea." 4. "The schedule is pretty complicated but my daughter-in-law got me a pill dispenser and that helps to keep me on schedule." 5. "I've had to borrow the money from my daughter to get my medication, but I always seem to find a way to get it."