Answer to Question 1
B
Cleanse the area gently with moist 4 4 sterile gauze pads, swabbing exudate away from the wound, or spray with a wound cleanser. Cleansing effectively removes any residual dressing gel without injuring newly formed delicate granulation tissue formed in the healing wound bed. With some brands, dressings can be trimmed to fit wound size, whereas other brands of dressings cannot be cut. Fill the wound cavity only one-half to two-thirds full to allow for expansion with absorption. Apply a secondary dressing, such as transparent film, hydrogen, foam, or hydrocolloid.
Answer to Question 2
B
B. Pulse should be measured before and after taking heart medications; before, during, and after exercise.
A. Instruct use of gentle pressure. Reinforce not to press hard over pulse site.
C. If carotid is chosen, caution client against vigorously massaging neck while attempting to locate pulse. Stimulation of carotid sinus could lead to reflex slowing of heart rate from vagal stimulation.
D. Instruct to count for a full 60 seconds, starting with second hand at 12:00 position.
Critical thinking involves analysis in which the nurse examines patient data available from a variet
A nurse shows empathy to a client.
The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume.
Nurse collaboration
The patient's signature on the informed consent form indicates that the patient understands the
The IAT procedure