Wound care is not a single process, but requires attending to different symptoms with different measures. Which of the following is needed for dermal ischemia?
A) Protection with DuoDerm or similar product and adhesive foam.
B) Treatment with topical antibiotics.
C) Protection with Vigilon or similar product.
D) Debridement.
C
Feedback:
Vigilon contains water and is soothing; it is appropriate for treating ischemia. DuoDerm and foam are used for hyperemia, antibiotics for necrosis, and debridement for removal of eschar.
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A patient participated reluctantly, answered questions with minimal responses and rarely made eye contact during a nursing assessment. What data should be included when documenting the assessment? You may select more than one answer
a. The patient's verbal responses. b. The observation that the patient was uncooperative. c. A description of the patient's behavior during the interview. d. Observations related to the patient's subjective responses. e. Analysis of why the patient did not respond openly during the interview.
The community nurse is caring for a client who is 32 weeks pregnant and diagnosed with preeclampsia. Which statement indicates that the client requires additional teaching?
A) "My urine may become darker and smaller in amount each day." B) "I should call the doctor if I develop a headache or blurred vision." C) "Pain in the top of my abdomen is a sign my condition is worsening." D) "Lying on my left side as much as possible is good for the baby."
Which option is the most general in the scope of nursing theories and looks at the nature of things?
1. Grand theory 2. Middle-range theory 3. A concept 4. Philosophy
In order to help an infant accomplish the basic task of infancy (according to Erikson's stages of psychosocial development), caregivers must consistently do which of the following things?
a. Provide entertainment and stimulation for psychological growth. b. Talk with the child during the child's waking hours. c. Hold the baby in a way that the baby prefers. d. Meet need for comfort, security, predictability, food, and warmth.