Answer to Question 1
B
Removal of necrotic tissue is necessary to rid the ulcer of a source of infection, to allow visuali-zation of the wound bed, and to provide a clean base necessary for healthy tissue to regenerate.
Irrigation is a method of delivering cleansing solution to a wound.
Mechanical methods include wet-to-dry dressings, wound irrigation, and whirlpool treatments. Surgical debridement involves direct surgical removal of the eschar layer of the wound.
Enzymatic debridement requires a physician's order.
Answer to Question 2
C
If the client has a syncopal episode or begins to fall, the nurse should assume a wide base of support with one foot in front of the other, supporting the client's weight to prevent injury. To extend the front leg, the nurse should move his/her back foot further away, and let the client slide against the forward leg to ease the client to the floor.
The nurse should not attempt to walk the client quickly back to the room.
The nurse should not lean the client against a wall as he or she might fall.
The nurse should not leave the client alone and go for help.
The nurse is using Standard Precautions to draw blood.
C, A nurse can also administer the medication by setting the dose and rate with an electronic infusi
To check pupillary reflexes the nurse first holds the penlight
Inspection of client
Approaching the client for the ophthalmoscopic exam
Client’s view with visual field loss