A postoperative patient visits the ambulatory care clinic complaining of just "not feeling well." The patient has an elevated temperature
As the nurse assesses the surgical wound, an indication that the wound has become infected is that the wound: A. culture is negative.
B. has no odor.
C. edges reveal the presence of fluid.
D. shows purulent drainage coming from the incision area.
D
Aerobic organisms grow in superficial wounds exposed to air. Anaerobic organisms tend to grow within body cavities. If the drainage has a pungent or strong odor, an infection is likely. When an infection develops, the wound edges are usually brightly inflamed, warm, tender, and swollen.
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The nurse is conducting a focused respiratory assessment on a 78-year-old client. When collecting the nursing history, the nurse should ask the client about:
1. Past exposure to chemicals and smoking. 2. Usual diet. 3. Elimination habits. 4. Liver infections.
A woman experiences shivering and her blood pressure drops from 120/80 mm Hg to 102/68 mm Hg shortly after giving birth. The nurse immediately removes the wet drapes and applies a warm blanket
The woman's fundus is firm, and there is no excessive bleeding. The woman asks, "Why can't I stop shivering?" The nurse's most appropriate response is: 1. "You were shivering because of the pain that you experienced. The shivering will stop soon now that the pain is gone.". 2. "You were shivering because your body cooled. Some women may have shiver-ing. This is a normal response.". 3. "Your doctor will be here shortly to talk about your shivering.". 4. "Don't worry. Your doctor will give you some pain medication that will cause your shivering to stop.".
The recommended treatment for human papillomavirus (HPV) is:
a. Miconazole ointment b. Topical application of podophyllin c. Metronidazole by mouth d. Penicillin intramuscularly for three doses
Which of the following includes the Division of Nursing?
1. Health Resources and Services Administration 2. Divisions of Medicine, Dentistry, and Allied Health Professions 3. U.S. Department of Health and Human Services 4. World Health Organization