The nurse observes the skin over a client's greater trochanter, as seen in the picture with pressure sores.
What actions should the nurse implement?

Instruct the unlicensed assistive personnel to frequently offer oral fluids.

Prepare to implement a pressure redistribution mattress.

Explain to the client that the wound needs debridement.

Obtain hemoglobin of the side to check for anemia and sensitivity.

Answer and Explanation

The Correct Answer is B

Pressure redistribution is an important part of preventing and treating pressure sores1.

Choice A is not the answer because offering oral fluids does not directly address the issue of pressure sores.

Choice C is not the answer because debridement is a surgical procedure that removes dead tissue from a wound and may not be necessary in this case.

Choice D is not the answer because checking for anemia and sensitivity does not directly address the issue of pressure

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Correct Answer is A

Explanation

It is important for the UAP to receive proper education and training on how to care for a foot ulcer before being assigned to care for a client with this condition.

Choice B is not correct because advising the UAP to wear gloves when caring for the FP is not the first action the nurse should take.

Choice C is not correct because instructing the UAP to start with basic wound care precautions is not the first action the nurse should take.

Choice D is not correct because asking the UAP which action they would take first and stating why is not the first action the nurse should take.

Correct Answer is ["4"]

Explanation

The client has been prescribed a one-time dose of metronidazole 2 grams by mouth.

Since 1 gram is equal to 1000 milligrams (mg), 2 grams is equal to 2000 mg.

The medication is available in 500 mg tablets, so the nurse should administer 2000 mg / 500 mg/tablet = 4 tablets.

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The nurse observes the skin over a client's greater trochanter, as seen in the picture with pressure sores. What actions should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An ulcerated foot peronet (FP) is to be implemented. The UAPs state they have not yet been educated on this before charging assignments. What action should the nurse take first?

Correct Answer is A

Explanation

A client receives a prescription for a one-time dose of metronidazole 2 grams by mouth. The medication is available in 500 mg tablets. How many tablets should the nurse administer? (Enter numerical value only).

Correct Answer is ["4"]

Explanation

The nurse is teaching a client how to do active range of motion (ROM) exercises. To exercise the hinge joints, which action should the nurse instruct the client to perform?

Which descriptions of stool warrant additional follow-up by the nurse? (Select all that apply.).

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After a week of bed rest, a client is being assisted to a chair for the first time. The nurse raises the head of the bed and moves the client to a sitting position. What should the nurse implement next?

The nurse plans to encourage a group of young adult clients to engage in problem-solving strategies. Which of the following is most useful for the nurse to include?

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After a long bed rest, a client with a Foley catheter and wrist restraints has repeatedly removed the antibiotic (G) tube and NG tube. At checking the restraints, which action is most important for the nurse to take?

While changing the dressing of a client with a leg ulcer, the nurse observes a red, tender, and swollen wound at the site of the lesion. Before reporting this finding to the healthcare provider, the nurse should note which of the client's laboratory values?

The nurse observes the skin over a client's greater trochanter, as seen in the picture with pressure sores.
What actions should the nurse implement?