In assessing a client's wound, which finding assists the nurse in determining that the wound is infected? (Select all that apply.)

a. It is open.
b. It has granulation tissue.
c. It is inflamed.
d. It has an odor.
e. It has heavy exudates.
f. It contains necrotic tissue.


C, D, E
A wound that is open can be contaminated but not necessarily infected. Granulation tissue is a healthy response. The presence of inflammation, odor, and exudate is an indication that the wound should be cultured to assess for infection.

Nursing

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The most common medication error with the elderly is _______________

a. Omission of the prescribed medication b. Increasing the prescribed dose of medications c. Taking medications with alcoholic beverages d. Using the medication of a family member or friend

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Which of the following recommendations would a nurse advocate during infancy and childhood to help reduce potential adult complications such as orchitis?

A) Ensure immunizations against infectious diseases such as mumps. B) Engage in activities and exercises that minimize heavy lifting. C) Encourage the consumption of foods that are rich in fat and starch. D) Urge the limited intake of foods and fluids containing caffeine.

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The nurse working in a prenatal clinic knows that first-time mothers, no matter their age, have some of the same concerns. What would be a concern of any first-time mother?

1. Whether they will have the energy to care for a baby 2. The ability to afford all they need for the baby 3. Feeling "different" by being the only one in the peer group having a baby 4. Concern about the well-being of the fetus and the ability to be a parent

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