The morning after a patient's lower leg surgery, the nurse notes that the dressing is wet from drainage. The surgeon has not yet been in to see the patient on rounds. What does the nurse do about the dressing?
a. Remove the dressing and puts on a dry, sterile dressing
b. Reinforces the dressing by adding dry, sterile dressing material on top of the existing dressing
c. Applies dry, sterile dressing material directly to the wound, then retapes the original dressing
d. Does nothing to the dressing but calls the surgeon to evaluate the patient immediately
Answer: b. Reinforces the dressing by adding dry, sterile dressing material on top of the existing dressing
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The nurse on a bone marrow transplant unit is caring for a patient with cancer who is preparing for engraphment for a bone marrow transplant. What is a priority nursing diagnosis for this patient?
A) Fatigue and activity intolerance B) Altered nutrition: less than body requirements due to anorexia C) Risk for infection related to altered immunologic response D) Body image disturbance related to weight loss and anorexia
A client comes to the clinic complaining of severe menstrual cramps. She has never been pregnant, has been diagnosed with ovarian cysts, and has had an intrauterine device (IUD) for 2 years. What is the most likely cause for the client's complaint?
1. Primary dysmenorrhea 2. Secondary dysmenorrhea 3. Menorrhagia 4. Hypermenorrhea
A nursing instructor is teaching about recovery as it applies to mental illness. Which student statement indicates that further teaching is needed?
A. "The goal of recovery is improved health and wellness." B. "The goal of recovery is expedient, comprehensive behavioral change." C. "The goal of recovery is the ability to live a self-directed life." D. "The goal of recovery is the ability to reach full potential."
Why would a school health nurse want to offer a program to teach conflict resolution and other social skills?
A. A really fantastic prepackaged teaching unit was available that focused on this topic. B. Funds were currently available in the state for such educational programs. C. The nurse recognized the prevalence of violence, including homicide, in adolescents. D. The cost of installing a gun/weapon alarm at the school entrance was too high.