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Author Question: The patient is scheduled for a dressing change. When removing the adhesive tape used to secure the ... (Read 72 times)

ereecah

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The patient is scheduled for a dressing change. When removing the adhesive tape used to secure the dressing, the nurse should lift the edge and hold the tape in which manner?
 
  a. At a 45-degree angle to the skin surface while pulling away from the dressing
  b. At a right angle to the skin surface while pulling toward the dressing
  c. At a right angle to the skin surface while pulling away from the dressing
  d. Parallel to the skin surface while pulling toward the dressing

Question 2

With which of the following patients should the nurse not use therapeutic touch?
 
  a. A cancer patient
  b. A bereaved patient
  c. A teenager with acne
  d. A physically abused patient



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mammy1697

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Answer to Question 1

D

Feedback
A Tape should not be pulled in a direction away from the wound, as this may cause the wound edges to separate.
B Holding the tape at a right angle to the skin surface may pull on the wound bed, causing separation of wound layers, or may damage the underlying skin.
C Holding the tape at a right angle to the skin surface may pull on the wound bed, causing separation of wound layers, or may damage the underlying skin. Tape should not be pulled in a direction away from the wound, as this may cause the wound edges to separate.
D To remove tape safely, the nurse loosens the tape ends and gently pulls the outer end parallel with the skin surface toward the dressing to reduce stress on suture line or wound edges.

Answer to Question 2

D

Feedback
A Therapeutic touch is not contraindicated for a cancer patient.
B Therapeutic touch is recommended for a bereaved patient.
C Therapeutic touch is not contraindicated for a teenager with acne.
D Therapeutic touch should be avoided with patients who are sensitive to human interaction and touch (such as patients who have been physically abused).





 

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