The prescriber writes an order to cleanse a patient's open wound twice a day with iodine. The nurse would use which solution?
a. Iodine tincture
b. Iodine solution
c. Povidone-iodine
d. Glutaraldehyde (Cidex)
ANS: B
Iodine solution is used for the treatment of open wounds and abrasions.
Iodine tincture is used when the skin is intact.
Povidone-iodine is less effective than other iodine preparations and is primarily used for prophylaxis of postoperative infection. It also is used for hand washing and surgical scrubs.
Glutaraldehyde is not an iodine.
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An unlicensed assistive personnel (UAP) was feeding a client with a tracheostomy. Later that evening, the UAP reports that the client had a coughing spell during the meal. What action by the nurse takes priority?
a. Assess the client's lung sounds. b. Assign a different UAP to the client. c. Report the UAP to the manager. d. Request thicker liquids for meals.
A client with pelvic inflammatory disease (PID) from gonorrhea asks how this can cause sterility. Which is the nurse's response?
a. "The infection damages the ovary so that less estrogen is secreted and ovulation is not possible." b. "The infection remains in your body and can infect your baby, so it is best if you don't become pregnant." c. "If the infection is present in the fallopian tubes, it can cause enough scarring to block the tubes permanently." d. "The infection causes such damage to the cervix that it cannot contain a pregnancy inside the uterus for longer than 3 months."
A nurse is preparing for the delivery of a newborn with a known diaphragmatic hernia defect. Which equipment should the nurse have on hand for the delivery?
1. Bag-valve-mask system 2. Sterile gauze and saline 3. Soft arm restraints 4. Endotracheal tube
Why does the nurse document the precise location of crackles auscultated in the lungs of a patient with heart failure?
a. Crackles will eventually change to wheezes as the pulmonary edema worsens. b. The level of the fluid spreads laterally as the pulmonary edema worsens. c. The level of the fluid ascends as the pulmonary edema worsens. d. Crackles will eventually diminish as the pulmonary edema worsens.