Surgical wounds are closed by other methods apart from sutures. What are the advantages of the alternative methods and what factors influence the decision making?
You are assigned to a general surgery theatre where the cases for the day are being performed laparoscopically. Mrs Young, a 44 year-old female, is booked on the emergency list for a laparoscopic cholecystectomy. Mrs Young weighs 110 kg.
What will be an ideal response?
Answer:
Skin staples, barbed sutures. Considerations: skin edges are opposed and device is strong enough to bring the skin edges together, providing a water-tight seal.
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The number of serious injuries of children in a community has doubled in the past year. Based on this information, the most appropriate nursing diagnosis for the community would be:
1. Altered Family Processes related to hospitalization of an injured child. 2. Noncompliance related to inappropriate use of child safety seats. 3. Injury, risk for related to inadequate use of bicycle helmets. 4. Knowledge, Deficit injury prevention in children.
The long-term care facility nurse should make rounds and monitor residents for safety every:
a. 2 hours. b. 4 hours. c. 6 hours. d. shift.
In the trauma patient, symptoms of decreased cardiac output are most commonly caused by:
a. cardiac contusion. b. cardiogenic shock. c. hypovolemia. d. pericardial tamponade.
What is the general delegation liability of the RN?
A) Is minimal because subordinates alone are held accountable for practicing within the accepted scope of practice for their job classification B) Is great because the RN is automatically held liable for the actions of all of his or her subordinates C) Is reduced when the RN appropriately assesses what can be delegated and to whom, and supervises the completion of the delegated task D) Can be avoided entirely by working only with other licensed personnel