Author Question: The nurse identifies clients likely to have clean wounds, including: Standard Text: Select all that ... (Read 92 times)

Haya94 · **on:** Jul 22, 2018

The nurse identifies clients likely to have clean wounds, including: Standard Text: Select all that apply.

1. A client with multiple contusions.
2. A client with a fresh surgical wound.
3. A client who was in a motorcycle accident.
4. A client who has purulent drainage.
5. A client with a laceration from a knife.

Question 2

The nurse is providing client teaching for a young woman who was recently informed she is pregnant. The client has a history of cardiomyopathy secondary to a pediatric infection.

In addition to routine prenatal teaching, the nurse will instruct this client to immediately report: 1. Shortness of breath, sudden weight gain, or dependent edema.
2. Weight loss, hematuria, or excessive urine output.
3. Headaches, vaginal bleeding, or unusual food cravings.
4. Vomiting, fatigue, or insomnia.

leeeep · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1,2
Rationale: Contusions are closed wounds, and are unlikely to be contaminated.

Answer to Question 2

1
Rationale: Shortness of breath, sudden weight gain, or dependent edema might signal the onset of congestive heart failure, which could result from the increased strain placed on the heart by the pregnancy. The client must be alert for these symptoms and report them immediately.