Because the physician has not ordered a dressing change for a ...

[ahriuashd]

Because the physician has not ordered a dressing change for a draining wound, the nurse should assess the amount of drainage by:
 
  a. weighing the patient to estimate the weight of the saturated dressing.
  b. reinforcing the dressing.
  c. circling and dating the outline of the exudate on the dressing.
  d. counting each dressing as 1 mL of drainage.

Question 2

The nurse suspects Down syndrome in a newborn when assessment findings include:
 
  a. hypertonia and dark skin.
  b. low-set ears and a simian crease.
  c. inner epicanthal folds and a high, domed forehead.
  d. long, thin fingers and excessive hair.

[Zebsrer]

Answer to Question 1

C
Without an order to change the dressing, the drainage should be circled and dated. Should the dressing become saturated, the dressing can be reinforced but the exudate should still be circled.

Answer to Question 2

B
Manifestations of the Down syndrome infant include low-set ears, simian crease, protruding tongue, and hypotonic extremities.