When using a foam dressing, the nurse recognizes that:
A. No secondary dressing is required
B. Either side may be applied facing the wound
C. Some brands may need to be moistened before they are removed
D. Discoloration of the foam is an indication of an infection
C
C. Check removal directions for specific brand of dressing that is being used. Some brands need to have old dressing soaked or moistened for removal.
A. Apply secondary dressing, if needed (check manufacturer's directions).
B. Make sure you know which side of foam dressing should be placed towards wound bed and which side should be facing away from wound bed.
D. Hydrocolloid dressings interact with wound fluids and form a soft whitish-yellowish gel, which is hard to remove and may have a faint odor. These are normal occurrences and should not be confused with pus or purulent exudate, wound infection, or deterioration of the wound.
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The nurse at the hospice center is caring for a terminally ill client. What psychosocial intervention by the nurse provides support to the client and family?
1. Encouraging reminiscence 2. Explanation of the impending loss 3. Avoiding discussion about spirituality 4. Refraining from discussing physical signs of death
A patient has been taught how to cough and deep breathe. Which evaluation method is most appropriate?
a. Return demonstration b. Computer instruction c. Verbalization of steps d. Cloze test
What is included in neurologic checks for children of all ages with a brain tumor?
1. Papillary response, head circumference, vital signs 2. Motor activity, papillary response, vital signs 3. Level of consciousness, palpate fontanels, motor activity 4. Blood pressure, head circumference, level of consciousness
Nurses need to develop political competence so that they can:
a) Share nursing's voice and values in political decision-making. b) Work to change major health care issues singlehandedly. c) Advocate for institutional quality healthcare improvements. d) Apply political role-modeling within nursing student action group.