The nurse provides care for a child with an abdominal wound. The wound edges are approximated. Which does the nurse include when rendering the prescribed wound care to this child? (Select all that apply)
Measures the size of the wound
Cleans from bottom to top
Works outward from the incision
Wipes from clean area to less clean area
Removes exudate with hydrogen peroxide
Correct Answer : A,C,D
These are all important steps in rendering prescribed wound care for a child with an abdominal wound. Measuring the size of the wound helps to track healing progress. Working outward from the incision and wiping from a clean area to a less clean area helps to prevent infection.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
It is important to use the appropriate suction pressure, time, and catheter size when suctioning a tracheostomy to prevent injury and ensure effective removal of secretions.
Correct Answer is D
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This is because the client has right-sided paralysis and will not be able to bear weight on their right leg. By standing on their left leg and pivoting to the chair, the client can safely transfer from the bed to the wheelchair with the assistance of the nurse.
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