Answer to Question 1
D
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A A patient who has an infection is at risk for poor wound healing and dehiscence. However, prophylactic use of antibiotics is not the best intervention to prevent dehiscence.
B Using appropriate sterile technique is always important to prevent the development of infection. However, it is not the best intervention to prevent dehiscence.
C Keeping sterile towels and extra dressings at the patient's bedside will not prevent wound dehiscence.
D A strategy to prevent dehiscence is to use a folded thin blanket or pillow placed over an abdominal wound when the patient is coughing. This provides a splint to the area, supporting the healing tissue when coughing increases the intra-abdominal pressure.
Answer to Question 2
A
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A The nurse should recognize the importance of privacy and confidentiality, and safeguard the patient's personal, family, and community information obtained in the context of a professional relationship.
B Fidelity refers to an agreement to keep promises.
C Veracity, in general, means accuracy or conformity to truth. In this situation, the nurse encourages the patient to be truthful with her family.
D Justice refers to fairness.
All messages must be documented and placed in the patient's chart.
A physical therapist helping the patient on parallel bars.
ROM exercises on a patient’s wrist: extension.
Patient with osteoarthritis.
Denture sore mouth in a patient who never removed partial dentures at night.
The nurse begins the general survey