A patient has been treated in the burn unit for 3 months. The nurse realizes that this patient's burns are in which phase of healing?
1. maturation
2. inflammatory
3. proliferative
4. restructuring
1
Rationale: The inflammatory phase lasts approximately 2 weeks. After the inflammatory phase is finished, the proliferative phase of healing begins. This phase lasts up to 1 month. The maturation phase of wound healing follows the proliferative phase and can last 6 to 18 months or longer depending on the wound. Restructuring is not a phase of wound healing.
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Despite the wishes of her family and the recommendations of the care team, a 70-year-old client with a diagnosis of congestive heart failure, but who is otherwise healthy, wants to have a no-code order in place
Which of the following statements by the care team most clearly prioritizes the patient's autonomy? A) "If this is what is best for everyone then we need to go ahead with the order.". B) "Provided it can be demonstrated that she has a potentially poor prognosis, we should certainly consider doing this.". C) "It's best that social work get involved at this point to reconcile the family's and the patient's wishes.". D) "If that's what she wants, then ultimately we're obliged to respect her wishes.".
After administering pain medication, the nurse returns to check the client's level of comfort. In which stage is the nursing process functioning?
1. Assessment 2. Evaluation 3. Planning 4. Implementation
The nurse prepares nutritional information for a community fair. What should the nurse use as a guide for the recommended intake of nutrients?
a. MyPlate b. Food labels c. Healthy People 2020 d. Dietary reference intakes
A novice nurse is stressed due to always being behind with her assignments. She is overheard saying,
, "No one here worries about checking nasogastric tube placement before they give medications and hang feedings. Skipping that step would save me an extra 30 minutes to be used for charting. If they can do it, so can I." This nurse is experiencing which stage of reality shock? a. loner. b. "rutter." c. change agent. d. "native."