Answer to Question 1
ANS: A, C, D, F
Before applying a bandage or a binder, the nurse has several responsibilities. The nurse would need to inspect the skin for abrasions, edema, and discoloration or exposed wound edges. The nurse also is responsible for covering exposed wounds or open abrasions with a dressing and assessing the condition of underlying dressings and changing if soiled, as well as assessing the skin of underlying areas that will be distal to the bandage. This checks for signs of circulatory impairment, so that a comparison can be made after bandages are applied. Marking the sites of all abrasions is not necessary. Although it is important for the skin to be clean, and even though it may need to be cleaned with a noncytotoxic cleanser, cleansing with hydrogen peroxide can interfere with wound healing.
Answer to Question 2
ANS: A, C, E
The presence of an evisceration (protrusion of visceral organs through a wound opening) is a surgical emergency. Immediately place damp sterile gauze over the site, contact the surgical team, do not allow the patient anything by mouth (NPO), observe for signs and symptoms of shock, and prepare the patient for emergency surgery.
Tattoos and Body Piercings: This patient developed cellulitis from tattoo ink
Bronchoscopy. Figure illustrates physician using a bronchoscope to inspect the patient’s bronchial t
The nurse applies a pulse oximeter sensor on the client’s finger.
Franz Marc, Die grossen blauen Pferde (The Large Blue Horses).
ROM exercises on a patient’s wrist: flexion.
Flow Patterns and Large-Scale Weather