The nurse is assessing a client's wound. Which of the following would be considered as being a normal finding at the surgical site?
a. Red, firm skin around the incision
b. Small gaps between the surgical staples
c. Scant serous drainage
d. Small amount of purulent drainage
Question 2
The nurse is instructing a postoperative client about the importance of nutrition for healing. The nurse knows the client understands the appropriate dietary needs when she states:
a. I need to eat a lot of fruit.
b. I should only eat lightly for the first week or two, probably a lot of soup and jello.
c. I don't want to eat too much the first few weeks because I shouldn't gain weight.
d. I should eat adequate servings of things like meat, poultry, beans, milk, cheese, and drink orange juice every day.
The nurse is using Standard Precautions to draw blood.
Assessing for Chvostek's Sign
To check pupillary reflexes the nurse first holds the penlight
Apply the substance to the client’s upper chest.
Positioning the client
Testing client’s ability to identify sharp sensations