Answer to Question 1
D
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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
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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).
Treating the pregnant patient
Patient teaching: female genetalia and reproductive tract assessment
Infants often rely on a caregiver as a secure base when they meet a new person.
Sample new patient registration form.
Algorithm for assessing a patient at risk for self-directed violence.
Patient Physical Status Classification