NURS 2539 TISSUE INTEGRITY

TISSUE INTEGRITY Question 1 A client has been receiving an I.V. solution. What is an appropriate expected outcome for this client? Question 2 See full question 33s A client has been diagnosed with right-sided heart failure. The nurse should assess the client further for: Question 3 See full question 13s What is the expected outcome of thrombolytic drug therapy for stroke? Question 4 See full question 18s A client with right sided hemiparesis has limited mobility. Which action should the nurse include in the plan of care to help maintain skin integrity? Question 5 See full question 12s The nurse applies warm compresses to a client's leg. To determine effectiveness of the compresses, the nurse should determine if there is: Question 6 See full question 15s The nurse should teach a client that a normal local tissue response to radiation following surgery for breast cancer is: Question 7 See full question 49s Which client is at greatest risk for inadequate nutrition? Question 8 See full question 36s A client who has had a bowel resection comes to the health center 7 days postoperatively for removal of the staples. As the nurse is cleansing the incision, the client reports of mid-incision pain. After removing three staples, the nurse observes that the incision is separating. What is the nurse’s priority action? Question 9 See full question 20s Question 10 See full question 57s The nurse is assessing a client who is 2 years of age and in the emergency department for burns on both feet, both lower legs, and the buttocks. The only area not burned from the waist down is the inside of the back of the knee. The parents inform the nurse that the child stepped into the bathtub and then sat down in the water when the water was too hot. What should the nurse should do in order of priority from first to last? All options must be used. Question 1 See full question 54s A nurse must irrigate a gaping abdominal incision with sterile normal saline, using a piston syringe. How should she proceed? Question 2 See full question 32s The client has sore nares while a nasogastric (NG) tube is in place. Which nursing measure would be most appropriate to help alleviate the client's discomfort? Question 3 See full question 19s Which change in the integumentary system is associated with normal aging? Question 4 See full question 34s A client is to have radiation therapy after a modified radical mastectomy. The nurse should teach the client to care for the skin at the site of therapy by: A client with peripheral artery l disease has femoral-popliteal bypass surgery. The primary goal of the plan of care after surgery is to: Question 6 See full question 5m 33s A client has partial-thickness burns on both lower extremities and portions of the trunk. Which I.V. fluid does the nurse plan to administer first? Question 7 See full question 1m 44s A postpartum woman who gave birth vaginally has unrelenting rectal pain despite the administration of pain medication. Which action is most indicated? The nurse provides teaching on postoperative wound care to a client being discharged from a surgical unit. Which of the following statements documented by the nurse indicates that the client understood the teaching? Question 9 See full question 42s The nurse is applying a hand mitt restraint for a client with pruritus (see figure). The nurse should first: Question 10 See full question 16s A client is admitted with full-thickness burns to 30% of the body, including both legs. After establishing a patent airway, which intervention is a priority? ....................................CONTINUED..........................