The plan of care for a postoperative client specifies that sterile 0.9% sodium chloride solution be used to clean the wound. What should the nurse do after reading this information?
A) Question the physician about the accuracy of this agent.
B) Refuse to use 0.9% normal saline on a wound.
C) Document the rationale for not changing the dressing.
D) Continue with the dressing change as planned.
Ans: D
Although various antiseptic cleaning agents could be used to clean a wound, sterile 0.9% normal saline is usually the agent of choice. Other agents may be caustic to skin and tissues.
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A male elder living in an adult community becomes a widower 1 month after retirement. Two months later, he has not resumed a weekly outing with his fishing club. Which should the nurse implement?
a. Ask the elder why he is not fishing. b. Have club members visit him at home. c. Meet with him to assess his interests. d. Enroll him in a weekly card game.
A male patient, age 75, is started on flavoxate (Urispas). What adverse effects should the patient be made aware of?
A) Rash B) Headache C) Weight gain D) Blurred vision
Mr. E, an elderly man who lives alone, has hypertension and diabetes but seems to manage both conditions quite well. Three times a week he drives to a dialysis center for dialysis
He injects himself with insulin and is in charge of his medications and meals. Because Mr. E is lonely, he often has lunch or dinner in restaurants where he may eat and drink unwisely, but he takes his medicines with him. What could a nurse at the dialysis center suggest that would most help Mr. E in managing his conditions? A) Eat at home most of the time B) Take a list of approved foods to the restaurants C) Find some social activities that do not involve eating D) Test your blood pressure and blood sugar after returning home
When administering medications, the client states: "I've never taken this pill before. I really am not comfortable taking it." How should the nurse respond?
1. "It is okay if you are not comfortable taking the medication. You have a right to refuse." 2. "Let me check the physician's order and verify that it is the correct medication." 3. "The physician probably added a new medication to your regimen." 4. "It is probably a generic formulation of the drug, and it doesn't look like the medication you are familiar with taking."