Author Question: The nurse is caring for a client with a deep draining abdominal wound. Which factor would require ... (Read 87 times)

bobthebuilder · **on:** Jun 25, 2018

The nurse is caring for a client with a deep draining abdominal wound. Which factor would require the nurse to wear a mask and goggles when caring for this client?

1. The wound is infected.
2. The client is confused and disoriented.
3. The wound is covered by wet-to-damp dressings.
4. The client is HIV-positive.

Question 2

The nurse is caring for several clients. Rank the order in which the nurse would assess vital signs for these clients. Click on the down arrow for each response in the right column and select the correct choice from the list.

Response 1. Client who is returning from the operating room after abdominal surgery
Response 2. Client who will walk the hallway for the first time
Response 3. Client who was febrile and required an antipyretic medication 1 hour ago
Response 4. Client who is to be discharged this morning

cdmart10 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 2

The client who is confused and disoriented might not cooperate with care, and could cause splashing of wound drainage, so the nurse should wear a mask and goggles when caring for this client. The other factors would cause the nurse to don gloves and a gown, but would not lead to the use of mask and goggles.

Answer to Question 2

Correct Answer: 1,3,2,4

The client returning from the operating room after abdominal surgery would be the client the nurse would assess first. The client who is febrile and required antipyretic medication an hour ago would be assessed second. The client who is walking down the hallway for the first time would be assessed third. The client who is being discharged is the most stable, so the nurse would assess this client last.