A physician documents that a patient is having purulent drainage from a wound. What does the nurse understand is most likely the cause?
a. Ringworm
b. Viral infection
c. Fungal infection
d. Bacterial infection
ANS: D
Purulent drainage is a creamy, viscous, pale yellow or yellow-green fluid exudate that is the result of fluid remains of liquefied necrosis of tissues. Bacterial infection is the most common cause. The character of the pus, including its color, consistency, quantity, or odor, may be of diagnostic significance.
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An older adult is in the hospital because of heart failure and has become incontinent of urine. Which evidence-based resource should the nurse use to guide continence care for this patient?
a. Nursing Standard Practice Protocol b. The Borun Center training modules c. Toolkit from the American Geriatrics So-ciety d. The Centers for Medicare and Medicaid Services
In addition to providing care in traditional arenas such as health care providers' offices and acute care hospitals, nurses provide care in nonacute arenas of health care such as:
a. acupuncture clinics c. emergency departments b. suicide prevention services d. long-term care facilities
When circulatory shock occurs, there is massive vasodilation causing pooling of the blood in the periphery of the body. As an ICU nurse caring for a patient in circulatory shock, you know that the pooling of blood in the periphery leads to what?
A) Increased stroke volume B) Increased cardiac output C) Decreased heart rate D) Decreased venous return
The nurse is counseling a woman who will be starting rifampin (Rifadin) as part of antitubercular therapy. The patient is currently taking oral contraceptives. Which statement is true regarding rifampin therapy for this patient
a. Women have a high risk for thrombophlebitis while on this drug. b. A higher dose of rifampin will be necessary because of the contraceptive. c. Oral contraceptives are less effective while the patient is taking rifampin. d. The incidence of adverse effects is greater if the two drugs are taken together.