The nurse assess a surgical patient in the morning of the first postoperative day and notes redness and warmth around the incision. Which action by the nurse is most appropriate:
a) Obtain wound cultures
b) document the assessment
d) Assess the wound every 2 hours
Ans: d) Assess the wound every 2 hours
You might also like to view...
A client expresses low self-worth, has much difficulty making decisions, avoids positions of responsibility, and has a behavioral pattern of "suffering" in silence
Which statement best explains the etiology of this client's personality disorder? 1. Childhood nurturance was provided from many sources, and independent behaviors were encouraged. 2. Childhood nurturance was provided exclusively from one source, and independent behaviors were discouraged. 3. Childhood nurturance was provided exclusively from one source, and independent behaviors were encouraged. 4. Childhood nurturance was provided from many sources, and independent behaviors were discouraged.
Which of the following phenomena most likely accounts for the progressive loss of hearing that an 83-year-old man is experiencing?
A) Multiple changes in the structures of the inner ear. B) The effect of cognitive changes on the interpretation of auditory stimuli. C) Cellular atrophy of the cells in the outer and middle ear. D) Age-related deterioration of the neural pathways associated with hearing acuity.
The nurse is caring for a client with acute respiratory distress syndrome (ARDS) who is receiving mechanical ventilation and positive end-expiratory pressure (PEEP). The alarm sounds, indicating decreased pressure in the system
What is the nurse's best action? a. Change the client's position. b. Suction the client. c. Assess lung sounds. d. Turn off the pressure alarm.
When teaching a client with tuberculosis being treated with isoniazid, the nurse understands this client needs:
a. supplemental fat-soluble vitamins. c. increased iron in his diet. b. pyridoxine supplementation. d. decreased riboflavin in his diet.