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.
The nurse applies a pulse oximeter sensor on the client’s finger.
Nurse Sandy
Factors affecting vital signs of older adults
Remove cold source, and check the knee for changes. Notice skin color and changes in swelling around ...
Skin