For a client with a transparent film dressing, a nurse assesses that there is white, opaque fluid accumulation and the surrounding tissue is inflamed. The nurse should:
A. Culture the wound
B. Leave the current dressing in place
C. Apply gauze over the top of the dressing
D. Remove and stretch the film tighter over the wound
A
A, B, C, and D. Should the fluid accumulation take on a white, opaque appearance with erythema of the surrounding tissue, one must assume an infectious process is under way, and the dressing should be removed and a wound culture obtained.
You might also like to view...
Convert 1:16 PM to international time
What will be an ideal response?
Which of the following are components of Freud's theory of personality (select all that apply):
A. Personality is fully developed by age 12. B. The personality is not fully developed until after adolescence. C. Developmental behaviors can happen at any age. D. Failure to progress in a particular manner will lead to dysfunction. E. Behaviors resulting from ineffective personality development are unconscious. F. Ineffective personality development was in some way related to the relationship of the child to the parent and is called psychosexual development.
An infant has been diagnosed with a mild cyanotic heart defect. Surgery to correct the defect will not be performed for at least 2 years. Which of the following would be included in discharge teaching for this child? The child should:
1. Maintain normal activity. 2. Be placed on bedrest. 3. Not be given antipyretics. 4. Have a low-grade fever until the defect is repaired.
A nurse is assessing a pressure ulcer in a pediatric client. The ulcer appears as a deep crater into the subcutaneous tissue, but does not extend to the adjacent muscle, bone, or supporting tissue
As what stage would this nurse classify the ulcer? 1. Stage 1 2. Stage 2 3. Stage 3 4. Stage 4