The nurse assesses a patient's wound and notices leakage at the edge of the transparent film of the negative-pressure wound therapy. Which should the nurse implement to promote wound healing and prevent infection?
a. Apply another layer of transparent film.
b. Change the patient's negative-pressure wound therapy dressing.
c. Patch the leaks with an adhesive dressing.
d. Contain leakage with a large ABD dress-ing.
B
The nurse replaces the patient's entire negative-pressure wound therapy dressing because it can-not establish negative wound pressure unless it is airtight. A leaking dressing provides an entry for pathogens. In addition, a leak in the dressing means that the negative pressure pulls room air currents over the wound bed, potentially contaminating the site. Adding another layer of trans-parent film could trap contaminants in the dressing, increasing the risk of infection. Adhesive dressing is avoided because it can irritate the skin and is too porous for establishing negative pressure. Likewise, an ABD pad is too porous to allow negative pressure to be reestablished.
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If a nurse observes an increased pulse rate and decreased blood pressure in a new postpartum client, the nurse should suspect the client has developed which of these conditions?
a. positive Homans' sign c. dehydration b. postpartum hemorrhage d. uterine distention
Hospital Magnet™ decides against creating a separate department to lead and monitor quality activities because:
a. Total organizational involvement is critical to QI. b. Data generated by a single, separate de-partment are generally flawed. c. Monitoring and commitment to QI can come only from senior-level managers. d. Staff resent suggestions for improvement that originate outside of their unit.
__________ is a vague, uneasy feeling, the cause of which is not readily identifiable
Fill in the blank(s) with correct word