A client has developed blisters around the tape that secures the dressing. The nurse should:
A) apply tape to the side of the blisters.
B) use Montgomery straps.
C) apply the dressing with a binder.
D) apply skin barrier to protect skin.
Ans: C
Feedback:
Bandages, binders, and stretch nets also can be used to hold gauze dressings in place.
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The nurse is interviewing a male client who states "I feel like I have a bag of worms in my scrotum." Based on this data, which condition does the nurse suspect?
1. Orchitis. 2. Varicocele. 3. Epididymitis. 4. Inguinal Hernia.
The nurse is caring for a 69-year-old patient with a history of osteoarthritis (OA) who has just been admitted to the medical unit. The patient asks the nurse what the difference is between OA and rheumatoid arthritis (RA)
What is the best response by the nurse? A) "OA is considered a noninflammatory joint disease. RA is characterized by inflamed, swollen joints." B) " OA and RA are very similar. OA affects the smaller joints, and RA affects the larger, weight-bearing joints." C) "OA affects joints on both sides of the body. RA is usually unilateral." D) "OA is more common in women. RA is more common in men."
The nurse recognizes that a patient arriving in the emergency room with symptoms of dizziness, staggering gait, and nystagmus may indicate:
A) Intoxication B) A cerebellar tumor C) A cerebellopontine tumor D) An occipital lobe tumor
A nurse is caring for a visually impaired school-age child. Which nursing intervention is the highest priority for this child during the admission process?
1. Explaining playroom policies 2. Orienting the child to where furniture is placed in the room 3. Letting the child touch equipment that will be used during the hospitalization 4. Taking the child on a tour of the unit