The nursing instructor is observing a nursing student caring for an infant with a diagnosis of bladder exstrophy. The nursing student provides appropriate care to the infant by:
1. Covering the bladder with a sterile gauze dressing
2. Covering the bladder with a dry sterile dressing
3. Applying sterile water soaks to the bladder mucosa
4. Covering the bladder with a sterile, nonadhering dressing
4
Rationale: Care should be taken to protect the exposed bladder tissue from drying while allow-ing drainage of urine. This is best accomplished by covering the bladder with a sterile, nonad-hering dressing. The use of gauze should be avoided because this type of dressing adheres to the mucosa and may damage the delicate tissue when removed. Sterile dressings and dressings soaked in solutions can also dry out and damage the mucosa when removed.
You might also like to view...
Outcomes provide evidence about benefits, risks, and results of treatments so individuals can:
a. make informed decisions c. seek specialty care b. seek high quality care d. find the best hospital
What is the goal of nursing care for the patient with a chronic illness?
a. Find the cause of the illness. b. Tell the patient that he or she will learn to live with the illness. c. Help the patient manage the illness. d. Give the patient websites that have infor-mation about the illness.
Which of the following motor abnormalities alerts the nurse to the possibility of Huntington disease?
A. Shuffling gait B. Rapid hand movements with no purpose C. Continuous chewing motions when the mouth is empty D. Tremors of the hands during fine motor tasks, such as threading a needle
The most productive way of managing stress would be to
1. use a combined approach (drug use and nonpharmacological strategies). 2. use anxiolytics. 3. practice meditation. 4. determine the cause and address it accordingly.