4 scenarios- which one is the least likely to have wound healing? ANSWER:
healing time is 8 weeks or more.
What is the expected 4th day post-op? - ANSWER: swelling and redness, no
discharge.
What do you do with an eviscerated abdomen? Take gauze soaked with saline
and cover
Old dressing abnormal findings: totally soaked, discolouration, unpleasant
aroma, heated to touch.
Full-thickness wound with lots of exudate - ANSWER: The best thing to do is
have a well-balanced meal with a high protein content.
What can you delegate to HCAs—ANSWER HCAs can look at it and tell you
whether a dressing is saturated.
What do you do before applying a dressing? - ANSWER Wound Assessment
What do you do if you look at a wound and observe undermining or tunnelling?
ANSWER: Call an RN but maintain sterility.
When irrigating a wound with a broad hole, what equipment do you need to
use? - ANSWER 30 mL syringe
, Wound irrigation on a child: what can you do to lessen worry because they are
squirmy? - ANSWER Distract them!
Which assessment should be performed for a fast-running IV? - ANSWER
Respiratory assessment for pulmonary oedema.
What can you do to prevent Iv from dislodging? - ANSWER Educate the
patient not to move it.
White crystals in IV tubing - ANSWER 1: Stop IV
2. Let somebody know.
Delegate to HCA - ANSWER reporting the patient's complaints to the LPNs
concerning IV
Saline flush - ANSWER -make sure is not clamped and there are no kinks in the
hose.
Primary nurse performs blood iv--after 4 hours, blood does not go in--answer:
the blood is no longer good because it has been out for 4 hours.
When preparing to administer blood, three things are top priority. - ANSWER:
1) blood type, 2) crossmatch. 3) What product do they get?
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