A nurse is cleansing the skin around the pin site of a client. ...

[lindiwe]

A nurse is cleansing the skin around the pin site of a client. Which of the following signs confirms the need to obtain a wound culture?
 
  A) Numbness at the site
  B) Cool temperature at the site
  C) Swelling distal to the site
  D) Purulent drainage from the site

Question 2

An Asian American client is admitted to the health care facility with hyperglycemia. After the client is stable, the nurse discovers that the client has not had his prescribed medicines.
 
  The client believes that eating saffron will keep his blood sugar under control. The nurse determines that saffron is not known to influence blood glucose levels. What is the most appropriate response by the nurse? A) Saffron does not have any effect on blood sugar level.
  B) Why don't you take the medicines, too, and benefit from both?
  C) Yes, I agree that you should rely on taking saffron for diabetes.
  D) Let me inform the physician that you don't understand.

[jojobee318]

Answer to Question 1

D
Feedback:
The presence of purulent drainage at the pin site indicates the need to obtain a wound culture. Redness, swelling, and increased tenderness around the pin site are also signs that provide data for current and future comparisons. The nurse should also check if the client has a temperature and pain as it indicates the possibility of infection.

Answer to Question 2

B
Feedback:
Although the nurse may disagree with the client's beliefs concerning the cause of health or illness, respect for these beliefs helps the client to achieve health care goals. Asking the client to consider the benefits of medicine is appropriate because the nurse, without disrespecting the client's beliefs, persuades him to have medicines also. The nurse saying that saffron does not have any effect on blood sugar level is inappropriate, as it disregards the client's beliefs. The nurse's agreeing with the client may encourage him and indicate low faith in the present treatment. It is inappropriate to call the doctor and complain about the client.

[lindiwe]

Thank you!

[jojobee318]

Always glad to help...