The nurse provides wound care for a client 48 hours after a burn injury. To achieve the desired outcome of the procedure, which action does the nurse perform first?
a. Apply silver sulfadiazine (Silvadene) ointment.
b. Cover the area with an elastic wrap.
c. Place a synthetic dressing over the area.
d. Remove loose nonviable tissue.
D
All steps are part of the nonsurgical wound care for clients with burn injuries. The first step in this process consists of removing exudates and necrotic tissue. This promotes wound healing.
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A 43-year-old man has tested positive for systemic candidiasis, and the care team has decided on IV fluconazole as a first-line treatment. When administering this medication, the nurse should
A) administer the drug with lactated Ringer's. B) infuse the drug no faster than 200 mg/h. C) avoid administering the drug through a peripheral IV. D) administer prophylactic heparin prior to the fluconazole.
The nurse is caring for a patient who is headed to the operating room for abdominal surgery. Which goal is appropriate for the nursing diagnosis risk for Perioperative positioning injury?
a. Patient will deny numbness or tingling in extremities after surgical procedure. b. Patient will maintain urine output of at least 30 mL/hour during and after surgery. c. Patient will maintain elastic skin turgor as well as moist tongue and mucus membranes. d. Patient will have no emesis and deny nausea following arousal from general anesthesia.
While preparing to insert an intravenous access device into the arm of a school-age child, the child's mother ask if the device can be placed in the left hand so the child can do homework with the right hand
What should the nurse respond to the mother? A) "Let's take a look at the left hand first.". B) "It's a doctor's decision to decide the best site.". C) "It would be better for him to wait and be surprised.". D) "I doubt it; most children have better veins on the right.".
Which drug for glaucoma control would be the best choice for a patient who has only one arm and whose daughter visits every evening?
a. Timolol (Timoptic) b. Travoprost (Travatan) c. Apraclonidine (Iopidine) d. Pilocarpine (Adsorbocarpine)