An older client with diabetes is admitted with a heavily draining ...

[RYAN BANYAN]

An older client with diabetes is admitted with a heavily draining leg wound. The client's white blood cell count is 38,000/mm3 but the client is afebrile. What action does the nurse take first?
 
  a. Administer acetaminophen (Tylenol).
  b. Educate the client on amputation.
  c. Place the client on contact isolation.
  d. Refer the client to the wound care nurse.

Question 2

A client has been prescribed denosumab (Prolia). What instruction about this drug is most appropriate?
 
  a. Drink at least 8 ounces of water with it.
  b. Make appointments to come get your shot.
  c. Sit upright for 30 to 60 minutes after taking it.
  d. Take the drug on an empty stomach.

[Kdiggy]

Answer to Question 1

ANS: C
In the presence of a heavily draining wound, the nurse should place the client on contact isolation. If the client has discomfort, acetaminophen can be used, but this client has not reported pain and is afebrile. The client may or may not need an amputation in the future. The wound care nurse may be consulted, but not as the first action.

Answer to Question 2

ANS: B
Denosumab is given by subcutaneous injection twice a year. The client does not need to drink 8 ounces of water with this medication as it is not taken orally. The client does not need to remain upright for 30 to 60 minutes after taking this medication, nor does the client need to take the drug on an empty stomach.