Nokea
A nurse is preparing to perform a wound irrigation procedure for a patient with a contaminated wound. What solution should the nurse use for wound irrigation?
- A. Sterile water
- B. Normal saline
- C. Hydrogen peroxide
- D. Betadine solution
Correct Answer: B
Rationale: Normal saline is the preferred solution for wound irrigation because it is isotonic and will not damage healthy tissue or delay wound healing. It helps to remove debris and pathogens from the wound, promoting a clean environment for healing. Sterile water can be used if normal saline is not available, but it may cause cellular damage if used in large volumes. Hydrogen peroxide and Betadine solution are not recommended for wound irrigation as they can be cytotoxic to the tissues and interfere with the wound healing process. It's important for the nurse to use evidence-based practice and follow recommended guidelines to promote optimal wound healing outcomes.
You may also like to solve these questions
A patient with a history of stroke is at risk for impaired skin integrity due to immobility. Which nursing intervention is most effective in preventing pressure ulcers in this patient?
- A. Turning and repositioning the patient every 2 hours
- B. Massaging bony prominences regularly
- C. Applying heating pads to areas of erythema
- D. Using a pressure-reducing mattress
Correct Answer: A
Rationale: Turning and repositioning the patient every 2 hours is the most effective nursing intervention in preventing pressure ulcers in a patient with a history of stroke and immobility. Pressure ulcers, also known as bedsores, are caused by prolonged pressure on the skin, leading to reduced blood flow and tissue damage. By regularly turning and repositioning the patient, pressure is relieved from specific areas of the body, helping to prevent the development of pressure ulcers. This intervention helps to redistribute pressure, improve blood flow, and reduce the risk of skin breakdown, thus promoting skin integrity in immobile patients.
It is not enough for the nurse to listen, but she also has, to validate what she has heard. The importance of validation are the following EXCEPT _____
- A. perceptions influence the interpretation of a message
- B. most patients are cognitively impaired
- C. Eye contact does not necessarily send the same message
- D. assists clarifying thoughts
Correct Answer: B
Rationale: The importance of validation in the context of communication and nursing care does not include the assumption that most patients are cognitively impaired. It would be more appropriate to approach patient interactions with the assumption that patients are capable of understanding and coherent communication. Validation is important because it helps ensure that the nurse has truly understood the patient's message, prevents misinterpretation, and fosters a sense of empathy and trust in the nurse-patient relationship. Additionally, validating the patient's thoughts and feelings can help clarify confused thoughts and promote effective communication. The other options (A, C, and D) are all valid reasons emphasizing the significance of validation in effective communication.
The Right to Information does not include _________.
- A. Any change in the plan of care before the change is made
- B. Extent to which payment maybe expected from Philhealth
- C. Discount for the professional fee of the attending doctor(s)
- D. Result of the evaluation of the nature and extent of his/her disease
Correct Answer: B
Rationale: The Right to Information pertains to the patient's right to be informed about their condition, treatment plan, and to have access to relevant medical information. It does not include specific details about payment or insurance coverage, such as the extent to which payment may be expected from PhilHealth. While financial information is important for patients, it does not fall under the scope of the Right to Information in a healthcare context, which focuses more on medical information and decision-making processes.
Considering the pain assessment scale (1, is the least pain and 5 is the most painful) Mrs. P described her pain in the scale of 5, you expect that the doctor will order which of the following pain medication?
- A. Meperidine HCl. (Demerol)
- B. Morphine Sulphate
- C. Fentanyl (Duragesic)
- D. Acetaminophen (Tylenol)
Correct Answer: B
Rationale: When a patient describes their pain as a 5 on the pain assessment scale, it indicates severe pain and the need for a strong pain medication. Morphine Sulphate is a potent opioid analgesic that is commonly used to manage severe pain, such as in cases where the pain is rated as 5. Meperidine HCl (Demerol) is another opioid analgesic, but it is not as commonly used due to its side effect profile and potential for toxicity. Fentanyl (Duragesic) is also a potent opioid analgesic that can be used for severe pain, but morphine is often preferred in this situation. Acetaminophen (Tylenol) is a milder pain reliever and is not typically sufficient for pain described at a level of 5 on the pain scale.
Which type of research allows researchers to be neutral observers
- A. Quantitative research
- B. Case studies
- C. Ethnographic research
- D. Qualitative research
Correct Answer: C
Rationale: Ethnographic research allows researchers to be neutral observers because it involves immersing oneself in the culture or community being studied without imposing their own biases or preconceptions. Ethnographers aim to understand the perspectives and behaviors of the people they are studying by observing them in their natural environment and engaging in participant observation. This approach enables researchers to gain insights into the social and cultural context of their subjects without influencing the outcomes or reactions. By maintaining neutrality and objectivity, ethnographic researchers can produce more authentic and unbiased results.