The nurse prepares to assess the patient's wound after removing the dressing. Which does the nurse implement to promote infection control?
a. Scrubs the drain insertion site in a back-and-forth manner
b. Cleans the incision from wound edges toward the center
c. Applies clean gloves after removing the old dressing; inspects the wound
d. Dons sterile gloves, removes the dressing, and inspects the wound
C
First the nurse applies clean gloves, and then removes soiled dressings and examines dressings for quality of drainage (color, consistency), presence of odor, and quantity of drainage (note if dressings were saturated, slightly moist, or had no drainage). The nurse discards dressings in a waterproof biohazard bag, removes and discards gloves, performs hand hygiene, and applies clean gloves. Then the nurse inspects the wound and determines the type of wound healing (e.g., primary or secondary intention). The wound is cleansed from the cleanest to the dirtiest area to avoid contamination of the cleaner area. The nurse does not need to put on sterile gloves to re-move the dressing but does need to change gloves before inspecting the wound.
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A client, scheduled for a bronchoscopy, asks the nurse why he needs the examination. The nurse should instruct the client regarding the purpose of the test as being to:
1. assess the strength of the respiratory muscles. 2. check for air trapping in the lungs. 3. examine lung tissue. 4. check for enlarged heart chambers.
Which local indications is the nurse likely to assess in a patient with osteomyelitis of the hip?
A) Bone pain, redness, and warmth B) Nausea, vomiting, anorexia C) Fever and chills D) Lymph node swelling, malaise
How do assessment findings in individuals with bulimia and anorexia differ?
a. Persons with bulimia tend to have lower body weights than those with anorexia. b. Fluid and electrolyte imbalance is more common in anorexia than in bulimia. c. Hormonal imbalance is more common in bulimia than in anorexia. d. Anorexia tends to begin at an earlier age than bulimia.
Local health departments were formed in urban areas in the late 1800s to:
a. target environmental hazards associated with crowded living conditions. b. facilitate interdisciplinary efforts and promote "practical nursing." c. provide immunizations and health care services to all citizens. d. offer public health education to nurses who had finished basic training.