When repositioning an immobile patient, it is important to assess all bony prominences for the presence of redness, which can be the first sign of impaired skin integrity. The dressing coming off is an unexpected outcome. Frequent cleaning, applying an ointment, and covering the areas with a thick absorbent towel Potter: Fundamentals of Nursing, 8th Edition, Chapter 48 Answer: C. It is unnecessary to change gloves for chronic wounds. Symptoms of wound infection include fever, tenderness and pain at the wound site, an elevated white blood cell count, and the edges of the wound may appear inflamed.
A localized collection of blood underneath the tissues that often takes on a bluish discoloration. What are your major concerns for this patient? The patient may have subtle symptoms of a urinary tract infection, as evidenced by a slight increase in body temperature, development of confusion, and the dark-colored urine. Sensitive skin that requires special bed linen C. He is most likely experiencing: A. In Print: Title is available to order from our suppliers.
The stool contains bacteria and in some cases enzymes that can harm the skin if in contact for a prolonged period of time. Tell the student that he will notify the physician of the findings Potter: Fundamentals of Nursing, 8th Edition, Chapter 14 Answer: D. Which statement made by the nurse is correct? Part of a patient-centered culture is the environment. Wound edges that appear red and inflamed indicate infection. The nurse ensures the drainage device appears deflated after it is emptied.
As a result, the older adult is less able to discern: A. Which statement by the nurse is correct about synergistic drug effects? Can feed herself and prepare meals but cannot drive to the store. A debriding enzyme that is used to remove necrotic tissue D. Ignatavicius: Concepts for Nursing Practice, 7th Edition, Chapter 27 In teaching the client about skin cancer prevention, which instruction will the nurse include? What cautions about the use of aspirin are important for the nurse to advise the patient? Use sterile dry gauze to blot dry. Potter: Fundamentals of Nursing, 8th Edition, Chapter 48 Answers: B, D.
Which patient statement indicates a need for health teaching about potential drug interactions? Review of new drugs is accelerated. Take the medication away and chart the patient's refusal D. The patient asks the nursing student what it is and why he should take it. The research nurse is meeting with a patient and, based on the assessment, determines that the patient meets the criteria. It is on targeted substances, such as benzodiazepines. The nurse can inquire about the patient's pain level.
If drainage is present, it is odorous and purulent, which causes a yellow, green, or brown color, depending on the causative organism. Examples of wounds that heal by secondary intention are pressure ulcers, a dog bite, a severe laceration, or a burn. Which of the following priorities would be seen as a barrier to healing and need to be considered when planning care for this patient? Taking a total of eight different medications during the day. Gloves are discarded after removing the old dressing. Long-term steroid therapy may diminish the inflammatory response and reduce the healing potential. Young adult who has had rhinoplasty and is swallowing frequently C.
His wife is a homemaker. Potter: Fundamentals of Nursing, 8th Edition, Chapter 14 You see a 76-year-old woman in the outpatient clinic. The patient states that she understands the instructions. Minimal notable symptoms; no treatment needed d. Maintain the head of the bed at 45 degrees. Those that wished to be sedated seemed to be less understanding and accepting of limitations that might be necessary post-operatively.
Set up the follow-up appointments with the physician for the patient. The scorecard tracks the system's performance in key areas, such as heart failure, pneumonia and surgical care. Instruct the patient to avoid looking at the wound. Speaking loudly can distort sound. Make sure that the patient's family knows how to safely bathe him or her and provide mouth care.
Identifies the location of inflammation within the body. Some patients are allergic to adhesive. To advance the tube as the wound heals Potter: Fundamentals of Nursing, 8th Edition, Chapter 48 Answer: A. Apply additional layers of gauze as needed. The nurse secures the tubing to the transparent dressing and connects the tubing from the dressing to the tubing from the canister and V. Which of the following would be a correct explanation of what the nurse has assessed? Which patient statement indicates an understanding of this trial phase? Having the dexterity needed to prepare and inject the medication Potter: Fundamentals of Nursing, 8th Edition, Chapter 25 A patient who is hospitalized has just been diagnosed with diabetes.