A nurse is admitting a client who has an abdominal wound
A nurse is admitting a client who has an abdominal wound. " b. Abdominal Mar 11, 2023 路 The nurse should initiate contact precautions for the client who has an abdominal wound with a large amount of purulent drainage. Option D is correct. , A client with an open The nurse is caring for a client with an abdominal wound and new orders from the health care provider. A nurse is On review of the client's record, the nurse notes that the client has a hospital-acquired infection caused by methicillin-resistant Staphylococcus aureus (MRSA). What action will the nurse prioritize to identify actual or potential health problems? a) communicate with the primary health care provider b) evaluate care implemented c) gather data from sources d) collaborate with the family, The nurse delegates vital signs to be taken and recorded by the Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client who has hypertension. One client has a penetrating abdominal wound from a piece of shrapnel. Which of the following types of transmission precautions should the nurse initiate? Answer Choices: A) Protective environment B) Airborne precautions C) Droplet precautions D) Contact precautions A nurse has performed pre-operative care on a client and is transferring the client to the surgical holding area when the client states, "I have changed my mind; I do not want to have this surgery. Put on a mask and face shield B. Using the nursing process, which of the following actions should the nurse take first?, A nurse is caring for a client who reports new onset of abdominal pain. The client will be going to surgery as soon as possible. Which of the following types of transmission precaution should the nurse initiate? Click the card to flip 馃憜 A nurse is caring for a client who has just been admitted to the nursing unit after receiving flame burns to the face and chest. The report that the client went out for dinner the previous night is example of data from which type of source? Primary Secondary Teritiary Quaternary, The nurse is assessing the client's abdominal wound and notes yellow-green purulent wound drainage. Initially, the family seemed devastated over the diagnosis. Clean the area around the drain moving away from the drain. Study with Quizlet and memorize flashcards containing terms like The nurse is admitting a new client. Bladder distention b. Calf swelling d. Assess the wound every 2 hours. c. The wound seems to be healing, and healthy tissue is observed. Which of the following actions should the The nurse anticipates that the client is likely to experience which psychosocial problems in the perioperative period? Select all that apply. Enlist volunteers to provide first aid. Study with Quizlet and memorise flashcards containing terms like The nurse is assessing a client the morning of the first postoperative day and notes redness and warmth around the incision. Provide emotional support. Which action should the nurse perform before assisting the client? A. Whcih of the following prescriptions shoult the nurse anticipate? (select all that apply) A. The nurse is teaching a client who is preparing for a left 38. This is because, the patient's wound drainage, which is purulent, has a high potential of harboring and transmitting infectious A nurse on the medical surgical unit is conducting a fall risk assessment for four clients. Which room assignment will the nurse make?, The most common infection in children is:, The nurse is reviewing the plan of care for assigned clients. ) A. Put on gown and gloves, The nurse is Study with Quizlet and memorize flashcards containing terms like The nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. In addition to standard precautions, which of the following transmission-based Study with Quizlet and memorize flashcards containing terms like A client who has undergone abdominal surgery calls the nurse and reports that she just felt "something give way" in the abdominal incision. The client's parent stated, "Our lives will never be the same. B. "I should increase my protein intake. Which of the following findings should the nurse identify as an indication that the client has developed thrombophlebitis? a. The client states that he was treated 1 month earlier for the same condition. Wound is superficial Wound base is pale in color Wound has an irregular border Thick, tough skin around the ankles Darkened skin around the lower extremities A client with a diagnosed abdominal aortic aneurysm (AAA) develops severe lower back pain. Explain procedure to patient. Contact precautions A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. Protective environment B. Hypoactive bowel sounds. When asking the client whether the client has taken any scheduled or over-the-counter medications in the past 24 hours, which statements would concern the nurse? Select all that apply. Study with Quizlet and memorize flashcards containing terms like A nurse in the antepartum unit is caring for a client who is at 36 weeks of gestation and has pregnancy-induced hypertension. On assessment, the nurse notes that the client's wound has eviscerated. Put on mask D. patient's level of consciousness. Which of the following types of transmission precautions should the nurse initiate? b. The nurse is admitting a client to the hospital who has been scheduled for gastrointestinal (GI) surgery later in the day. The nurse has changed this dressing daily since surgery. Oct 7, 2023 路 In this scenario, where a nurse is admitting a client who has an abdominal wound with a large amount of purulent tissue drainage, the type of transmission precautions the nurse should initiate are Contact Precautions. Prolapsed cord C. Stand directly in front of the client, A nurse is caring for a client who has methicillin resistant Staphylococcus aureus ( MRSA ) in an abdominal wound . Which type of transmission precautions should the nurse initiate? Contact precautions (Major wound infections require contact precautions, which means the nurse should admit the client to a private room. , The nurse is admitting a client with acute appendicitis to the emergency department. avoid dizziness. The area is tender and warm to the touch. Today, the nurse notes increased serosanguinous drainage, wound edges not approximated, and a ¼-inch (6 mm) gap at the lower end of the incision. The nurse admitting a client with an infected leg wound notes that the client has a history of peripheral vascular disease, COPD, diabetes, and gastroesophageal reflux disease (GERD). Study with Quizlet and memorize flashcards containing terms like A nurse is treating a client who has a wound with full-thickness tissue loss and edges that do not readily approximate. What initial nursing activity is most important in the postoperative recovery area?, A nurse is caring for a client who underwent a skin biopsy and has three stitches in place. Which type of transmission precautions should the nurse initiate?, A nurse is evaluating a client's use of a cane. Decreased Blood pressure c. maximize comfort. The bladder (inside the cuff) should surround 80% of the arm circumference. Staples are intact along the incision. Administer lactulose 30 mL PO 4 times daily C. The nurse knows that the open wound will gradually fill with granulation tissue. The nurse would suspect that the patient has what kind of complication? 1) insert the catheter at a 45 degree angle 2) place the clients arm in a dependent position 3) shave excess hair from the insertion site 4) initiate IV therapy in the veins of the hand CORRECT: 2) place the clients arm in a dependent position 1) generally the nurse should insert at a 10 to 30 degree angle but for older adults an angle of 10 to 15 degrees is preferable because veins are closer Sep 27, 2023 路 A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. Which of the following types of transmission precautions should the nurse initiate? Contact precautions Major wound infections require contact precautions, which means the nurse should admit the client to a private room. D. The nurse should suspect which of the following complications? A. Protective environment 2. , The nurse is changing the abdominal dressing on a client following a suprapubic prostatectomy. Which of the following types of transmission precautions should the nurse initiate? A. Explanation: Evisceration is a surgical emergency that occurs when the abdominal contents protrude through the incision site. , A client with an open Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage (pus). Airborne precautions 3. Which type of wound healing is this?, A nurse caring for a client who has a surgical wound after a caesarean birth notes . Determine the client uses hearing aids . "I should include fruit and Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative following abdominal surgery Exhibit 1 Nurse's Notes: 1100: Client received from PACU; Initial vital signs recorded. , When the nurse observes that a postoperative client demonstrates a constant low level of oxygen saturation via Three days after a patient has abdominal surgery, the nurse notes a 2-cm area of erythema and swelling at the proximal end of the incision. A) Neurological assessment B) Incisional drainage C) Urinary output D) Reported pain level E) Gastrointestinal assessment F) Vital signs, A nurse in a provider's clinic is caring for a client who has heart failure. Airborne precautions C. WOUND CARE INTRODUCTION. Speak using his usual tone of voice . Which of the following is the first step the nurse should perform during the abdominal assessment? Study with Quizlet and memorize flashcards containing terms like On admission of a patient to the postanesthesia care unit (PACU) from surgery, the nurse should first assess the a. Learning Objectives. Study with Quizlet and memorize flashcards containing terms like For the past month, the nurse has been providing care to a 7-year-old client recently diagnosed with type 1 diabetes mellitus. The nurse enters the room to check the client's pulse . Assess tissue condition, wounds, drainage, and pressure injuries. Oct 20, 2023 路 A nurse is admitting a client who has an abdominal wound with a large amount of purulend drainage. A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. Incompetent cervix D Study with Quizlet and memorize flashcards containing terms like 1. d. intravenous (IV) site and fluid rate. Obtain a wound culture specimen. 4. The client's eyelashes and eyebrows are singed, and the eyelids are swollen. , A client returns from the recovery room following an abdominal surgical procedure. Put on goggles and mask C. Obtain wound cultures. Apply a variety of wound dressings. b. " c. Which action should the nurse identify as as an indication of correct use?, A nurse is reviewing a client's fluid Study with Quizlet and memorize flashcards containing terms like The nurse is preparing to help mobilize a client with an abdominal wound that is colonized by methicillin-resistant Staphylococcus aureus (MRSA). Study with Quizlet and memorize flashcards containing terms like The nurse cares for a client with an abdominal wound. Which action does the nurse take first?, The nurse identifies which change in the genitourinary system is usually associated with client aging?, Following a total hip arthroplasty, the older adult client is prescribed A nurse is admitting a client who has an abdominal wound with a large amount of purple tissue drainage. Which disorders increase the client's risk for wound complications? Select all that apply. Which interventions should be included in the plan of care? Select all that apply. What color coordinate would the nurse assign to this 3. Droplet precautions 4. "I should consume a diet high in carbohydrates. Client drowsy but responses to verbal stimuli. A nurse is assisting with the admission of a client who has cirrhosis. Administer a daily multivitamin E. Rephrase statements the client does not hear . Which nursing observation related to the incision will indicate the patient is experiencing a complication of wound healing? A. Gently irrigate the drain to remove exudate. Study with Quizlet and memorize flashcards containing terms like It is important for the nurse to assist a postsurgical client to sit up and turn the head to one side when vomiting in order to avoid aspiration. , A 42-year-old patient is recovering from anesthesia in the PACU. The nurse has just completed documentation and is entering another client's room. Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client who has an infected leg wound. Place the client on a low-protein diet A. Question: A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. Droplet precautions D. Explanation: When admitting a client with an abdominal wound that has a large amount of purulent drainage, the nurse should indicate contact precautions. The nurse is monitoring a patient with a stage III pressure ulcer. A wound drain is in place in the abdominal wound. Speak to both parents together and encourage them to Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has required bed rest for the past month. Study with Quizlet and memorize flashcards containing terms like A nurse is receiving a client to the postanesthesia unit. This wound is healing by:, When should the nurse encourage the postoperative patient to get out Study with Quizlet and memorize flashcards containing terms like A nurse has given a client a nursing diagnosis of self-care deficit related to a musculoskeletal disorder. patient's oxygen saturation. On Hernia Dehiscence Erythema Evisceration, The nurse is changing the dressing of a client who is 4 days postoperative with an abdominal wound. 1. The nurse should: 1. Following the arrival of the client to the nursing unit, the nurse observed the client has a patent airway. 39. Obtain dailty weight and abdominal girth measurements D. Which of the following client statements indicates an understanding of the teaching? a. Which intervention regarding activities of daily living would be most appropriate?, A nurse is admitting a client who has tuberculosis. Feb 5, 2024 路 For a client with an abdominal wound and purulent drainage, the nurse should use contact precautions to prevent the spread of infection by direct or indirect transmission. Put on gown and gloves, The nurse is The nurse has entered the client's room to adjust settings on the intravenous pump. The nurse should identify that which of the following clients is the greatest risk for a fall? a)an older client who is confused and has urinary frequency b)a client with diabetes mellitis who has a leg ulcer c)a client who is 1 day postoperative and has a nurse assistant helping him out of bed d)an The nurse is caring for a patient who has experienced a total abdominal hysterectomy. Cleanse and irrigate wounds. Suddenly, the client reports continuous abdominal pain and vaginal bleeding. Which of the following types of transmission precautions should the nurse initiate?Protective environmentAirborne precautionsDroplet precautionsContact precautions A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. Obtain the client's PT and INR measurements B. Contact precautions are used to prevent the spread of infectious agents that are transmitted by direct or indirect contact with the client or their environment. Exhibit 1: Nurses' Notes 1200:Client arrives to ED and reports abdominal pain and no bowel movement for the past 7 days. C. Approximation of the incision edges has occurred. Use appropriate aseptic or sterile technique. Notify the health care provider. Which of the following types of transmission precaution should the nurse initiate? A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. Client is undergoing chemotherapy for pancreatic cancer and has been taking 40 mg oxycodone extended-release tablets Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a client who has a pressure injury on their leg about proper nutrition to facilitate wound healing. -COPD-Diabetes-Peripheral vascular disease-GERD Discussion PromA nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. " Which of the following ethical principles is the client using? Study with Quizlet and memorize flashcards containing terms like (Select all that Apply) A nurse is caring for a client who is postoperative following abdominal surgery. Study with Quizlet and memorize flashcards containing terms like The nurse is preparing to help mobilize a client with an abdominal wound that is colonized by methicillin-resistant Staphylococcus aureus (MRSA). Which of the following types of transmission precautions should the nurse initiate? Protective environment Airborne precautions Droplet precautions Contact precautions O 20. A scant amount of purulent drainage is noted at the site. Carefully reinsert the intestine through the opening in On review of the client's record, the nurse notes that the client has a hospital-acquired infection caused by methicillin-resistant Staphylococcus aureus (MRSA). , Following an explosion at a chemical plant, a nurse is triaging clients. The nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. The client has an abdominal wound that requires irrigation and has a tracheostomy attached to a mechanical ventilator and requires frequent suctioning. Diminished bowel sounds, A nurse is administering an otic The client's spouse informs the nurse that the client went out for dinner the previous night. Ask them to sit in the waiting room until the nurse can spend time alone with them b. Which of the following actions should the nurse take? (Select all that apply. " What statement now made by the parent BEST indicates that nursing interventions A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. When the parents arrive at the hospital, what is the priority action by the nurse? a. Patient reporting, "My incision is hurting. Contact precautions Study with Quizlet and memorize flashcards containing terms like The nurse is receiving a confused client with a draining wound onto the medical-surgical unit. I am available to talk if you change your mind Quiz for Next week Intervention to prevent shear Post op immobility- Goal setting Pain management Adverse reaction to pain med-signs and symptoms Priority of care for patient with skin breakdown Nursing diagnosis and priorities Priority of care for patient post-op Select all that apply. Which of the following actions should the nurse implement? a. Which of the following types of transmission precautions should the nurse initiate?, A nurse is caring for a client who is post-op following a knee arthroplasty and requires the use of thigh-length sequential compression Question: FLAGA nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. e. The nurse should assign the client's condition to which of the following categories when prioritizing care?, A nurse is Study with Quizlet and memorize flashcards containing terms like A nurse in the emergency department (ED) is caring for a client who reports abdominal pain. , The nurse has admitted a client to the clinical nursing unit following a right mastectomy. Study with Quizlet and memorize flashcards containing terms like The recovery room nurse is admitting a patient from the OR following the patients successful splenectomy. client is orientated to person, place, and time. Placenta previa B. The nurse should instruct the client to lie supine with his knees flexed to reduce tension on the wound and prevent further damage. The nurse notes a hoarse cough and that the client is expectorating sputum with black flecks. Direct to a delayed treatment waiting area. dressing at the surgical site. An adolescent is brought to the ED after a motor vehicle crash and is pronounced dead on arrival (DOA). Client can move all extremities. help eliminate inhaled anesthetics. The client has abdominal pain of 10 on a pain scale of 1 to 10. Keep airway patent. The nurse has assisted a client with changing and caring for a new colostomy. Document the assessment. Which of the following actions should the nurse take?, A nurse is preparing to administer medication to a client using medication bar scanning method. " B. What is the first assessment that the nurse should perform on this newly admitted patient? A) Heart rate and rhythm B) Skin integrity C) Core body temperature D) Airway patency, An adult patient is in the recovery room Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who reports feeling a pop after coughing without properly splinting an abdominal incision. The nurse is exiting a room after completed indwelling urinary catheter care. How would the nurse stage this ulcer? Stage I pressure ulcer Healing stage II pressure ulcer Healing stage III pressure ulcer Stage III A nurse has just received report on a newly admitted client who reports abdominal tenderness in the lower right quadrant. Which of the following types of transmission precautions should the nurse initiate? A) Protective environment B) Airborne Precautions C) Droplet precautions D) Contact precautions The Correct Answer is A. Which of the following types of transmission precautions should the nurse initiate? 1. The nurse checks the incision and notes the presence of wound dehiscence. Study with Quizlet and memorize flashcards containing terms like The nurse is assessing a client the morning of the first postoperative day and notes redness and warmth around the incision. The nurse should take which immediate action - Document the findings - Contact the primary health care provider Study with Quizlet and memorize flashcards containing terms like The wound care nurse visits a patient in the long-term care unit. Which client has the highest risk for developing an infection? and more. Science; Nursing; Nursing questions and answers; a nurse is admitting a client who has an abdominal wound with a large amount of pearlulent drainage which of the following types of transmission precautions should the nurse initiate protective environment airborne precautions droplet precautions contact precautions A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. The nurse notes there's purple to drainage from the wound. qgeawvhwupmoxervwuuhvafbefjbmvfmybncgbjbhchh