A client asks why a burn is debrided each day. Which of these responses by the nurse would be MOST appropriate?
a. "By removing the eschar daily, infection and tissue sloughing can be prevented and healthy tissue can be covered with skin grafts."
b. "By submersion in a whirlpool bath, we can better exercise the limbs to prevent contractures."
c. "This is a cleaning bath given so that fresh dressings may be applied to the areas."
d. "We decrease the chance of infection by immersion in antibiotic solutions with each debriding bath."
A
Surgical treatment involves skin grafting to the affected areas and the removal of the eschar daily to prevent infection and tissue sloughing.
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A parent asks the nurse, "What is guided imagery?" Which statement is the most accurate response?
a. "It is a technique where the patient focuses on an image to relieve stress." b. "It involves using water to promote relaxation." c. "The patient enters a hypnotic state of sleep to promote relaxation." d. "It helps the patient recognize tension in the muscles with responses on an electronic machine."
The nurse is conducting tests of a patient's cerebellar synchronization of movement with balance. What result of the finger-to-nose test would indicate cerebellar dysfunction?
A) The patient has trouble understanding the nurse's instructions. B) The patient cannot reach his or her nose due to restricted range of motion in the elbow. C) The patient overshoots when trying to touch his or her nose. D) The patient cannot touch his or her nose due to a trembling hand.
In planning care for your Native-American patient who is taking herbal remedies and nutritional supplements, the nurse should inform the patient that:
1. herbs and vitamins are not helpful. 2. if herbs and vitamins are not harmful, they will be integrated into the plan of care. 3. medical research has shown that such alternative remedies are a waste of money. 4. in the hospital, no physician will prescribe anything other than accepted medical protocols.
What could be a likely cause of this?
It is summer and an 82-year-old woman is brought to you from her home after seeing her primary care doctor 2 days ago. She was started on an antibiotic at that time. Today, she comes to the emergency room not knowing where she is or what year it is. A) Alzheimer's dementia B) Stroke C) Delirium D) Meningitis