The nurse assesses a wound with exudate. What should be included when documenting the exudate? (Select all that apply.) o Color o Odor o Heat o Consistency o Amount
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The nurse assesses a wound with exudate. What should be included when documenting the exudate?
(Select all that apply.)
o Color
o Odor
o Heat
o Consistency
o Amount
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- Please do inIn a tabular form, sufficiently list all unacceptable smears and their causes.. MThe nurse is cleaning an open abdominal wound that hasunapproximated edges. What are accurate steps in thisprocedure? Select all that apply. a. Use standard precautions or transmission-based precau-tions when indicated. b. Moisten a sterile gauze pad or swab with the prescribedcleansing agent and squeeze out excess solution.c. Clean the wound in full or half circles beginning on theoutside and working toward the center.d. Work outward from the incision in lines that are parallel toit from the dirty area to the clean area. e. Clean to at least one inch beyond the end of the new dress-ing if one is being applied. f. Clean to at least three inches beyond the wound if a newdressing is not being applied.Alcohol-based hand rubs should not be used if a nurse is caring for more than one patient. Droplet Precautions are in place. the patient is infected with drug-resistant bacteria. if hands are visibly soiled.
- Which of the following should be done first after a needle stick or sharps injury? Wash the area with soap and water. Squeeze the area to remove excess blood from the wound. Cover the wound with antibiotic ointment. Apply a disinfectant and then use soap and water.After inspecting the skin of a patient, the nurse documents thepresence of a skin lesion as a palpable solid mass measured at1 cm. What types of skin lesions might this describe? Selectall that apply.a. Maculeb. Patchc. Plaqued. Nodulee. Bullaf. PustuleThe medication order is to administer amoxicillin 100mg PO qid. Available: amoxicillin oral suspension 125mg/ml. How many ml will the nurse administer per day?
- When inspecting the skin of a patient who has cirrhosis ofthe liver, the nurse notes that the skin has a yellow tint. Whatwould the nurse document related to this finding?a. Jaundiceb. Cyanosisc. Erythemad. PallorA medication order reads: “K-Dur, 20 mEq po b.i.d.” Whenand how does the nurse correctly give this drug?a. Daily at bedtime by subcutaneous routeb. Every other day by mouthc. Twice a day by the oral routed. Once a week by transdermal patchA nurse is documenting a dressing change for a client who has a pressure injury. Which of the following entries by the nurse demonstrate correct documentation? No changes noted to the wound from previous nursing notes Client premediated with MSO4 sunqery prior to dressing change The wound seems clean and does not appear to be infected New dressing applied as prescribed, no drainage on old dressing
- allergy testing techniques include scratch, puncture, prick, or intradermal testsA nurse caring for patients in the PACU teaches a novicenurse how to assess and document wound drainage. Whichstatements accurately describe a characteristic of wounddrainage? Select all that apply.a. Serous drainage is composed of the clear portion of theblood and serous membranes.b. Sanguineous drainage is composed of a large number ofred blood cells and looks like blood.c. Bright red sanguineous drainage indicates fresh bleedingand darker drainage indicates older bleeding.d. Purulent drainage is composed of white blood cells, deadtissue, and bacteria.e. Purulent drainage is thin, cloudy, and watery and may havea musty or foul odor.f. Serosanguineous drainage can be dark yellow or greendepending on the causative organism.Can you help me to explain to me about a patient's wound and document your care as if it were an actual patient. Here is a charting sample: 11/19/2019; 1400: 24 F S/P (status post-event that caused the injury) shark attack 3 days ago. Deep wound L buttock (16 cm x 6cm). Patient medicated for 30 minutes prior to wet to dry dressing change with sterile technique. Wound care complete with 0.9% NS (normal saline)-no drainage or exudate noted. Wound packed with sterile gauze/ dressing and bandage applied. Patient tolerated procedure well- pain scale 4/10. Pt resting after procedure in prone position.