Assessing dressings - Study guides, Class notes & Summaries

What all do you document while assessing wounds? correct answers Document location, size, count any dressings/staples/steristrips, approximated or dehiscence? Incision correct answers sharp instrument; open wound; deep or shallow; once the edges have been sealed together as a part of treatment or healing, the incision becomes a closed wound. Contusion correct answers blow from a blunt instrument; closed wound; skin appears ecchymotic (bruised) because of damaged blood vessels. Abrasion ...

A nurse is assessing the pain level of a client who has dementia and difficulty communicating, which pain assessment technique should the nurse use? - correct answer behavioral indicators (increased agitation, restlessness) A nurse receives a report from an assistive personnel that a client's bp is 160/95, what should the nurse do first? - correct answer recheck the clients bp (reassess prior to any intervention) A nurse is caring for a client who has an indwelling urinary cath, wh...

A patient 1 day post-op after abdominal surgery has incisional pain, 99.5 (°F) temperature, slight erythema at the incision margins, & 30 mL serosanguineous drainage in the Jackson-Pratt drain. Based on this assessment, what conclusion would the nurse make? - ANSWER-The patient is having a normal inflammatory response. The nurse assessing a patient with a chronic leg wound finds local signs of erythema & the patient complains of pain at the wound site. What would the nurse anticipate bei...

Leadership NGN Case Study Questions and Answers Graded A+ The registered nurse (RN) is caring for a client with epilepsy. Which task delegated by the RN to the members of the health care team indicates active delegation? Select all that apply. One, some, or all responses may be correct. Directing the licensed practical nurse (LPN) to administer diazepam Instructing the LPN to monitor the vital signs frequently Telling the licensed vocational nurse (LVN) to administer sedatives Sending the u...

ATI RN Concept-Based Assessment Level 1 Practice B Version 2 (Latest 2023/ 2024) Questions and Verified Answers | 100% Correct| Grade A Q: A nurse is disgusting informed consent with a group of newly licensed nurses. Which of the following actions is the responsibility of the nurse when obtaining informed consent? Answer: Verify that the client voluntarily gave consent for the procedure Q: A nurse is providing handoff report on a client. Which of the following information should ...

NSE 203 (weeks 1-5 content) questions and answers graded A+ What is involved in "A" of the primary survey Airway: - is the airway patent (open/unobstructed airway) What is involved in "B" of the primary survey Breathing: - measure RR - evaluate work of breathing - measure O2sat What is involved in "C" of the primary survey Circulation: - palpate pulse (rate and rhythm) - BP - assess urine output What is involved in "D" of the primary survey - Assess LOC - Evaluate speech - Assess pain...

ATI RN PEDIATRIC PROCTOR EXAM 2019 1. A nurse is preparing to assess a 4-year old child’s visual acuity. Which of the following actions should the nurse plan first? • Use a tumbling E chart for the assessment • Position the child 4.6 meters (15 feet) from the chart • Assess both eyes together first, then each eye separately • Test the child without glasses before testing with glasses 2. A nurse is providing discharge teaching to a parent of a child who has juvenile idiopathic ...

Med Surg Exam 3 Questions With 100% Correct Answers 2024 The nurse is assessing a client diagnosed with cellulitis of the upper left arm. Which manifestation should the nurse anticipate finding with this client? (Select all that apply.) A. Swollen lymph glands B. Pustules with surrounding erythema C. Deep, firm, painful nodule D. Fever and chills E. Erythema A. Swollen lymph glands D. Fever and chills E. Erythema The nurse is performing a health history for a new client in the clinic...

Christensen: Adult Health Nursing, 6th Edition Chapter 03: Care of the Patient with an Integumentary Disorder Test Bank MULTIPLE CHOICE 1. A patient has generalized macular-papular skin eruptions and complains of severe pruritus from contact dermatitis. When the nurse administers his therapeutic bath, it is important to remember that a. using Burow’s solution helps promote healing. b. rubbing the skin briskly decreases pruritus. c. allowing 20 to 60 minutes to complete the ...

NURS 235 Capstone fundamentals- University Of Charleston a nurse is assessing the pain level of a client who has dementia and difficulty communicating, which pain assessment technique should the nurse use? behavioral indicators (increased agitation, restlessness) a nurse receives a report from an assistive personnel that a client's BP is 160/95, what should the nurse do first? recheck the clients BP (reassess prior to any intervention) a nurse is caring for a client who has an indwelli...