a client has an open wound with creamy thick yellow drainage how would the nurse document this finding
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Nursing Elites

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. A client has an open wound with creamy thick yellow drainage. How would the nurse document this finding?

Correct answer: Purulent

Rationale:

2. Cocaine is derived from the leaves of coca plant; the nurse knows that cocaine is classified as:

Correct answer: A

Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.

3. Which statement best describes the focus of community health nursing?

Correct answer: B

Rationale: The correct answer is B because community health nursing focuses on improving the health of the entire community rather than just individuals or families. By addressing health issues at the population level, community health nurses work towards enhancing the overall well-being and health outcomes of the community.

4. A client has a new prescription for a Nitroglycerin transdermal patch for Angina Pectoris. Which of the following instructions should the nurse include?

Correct answer: A

Rationale: The correct instruction for a client using a Nitroglycerin transdermal patch is to remove the patch each evening to prevent tolerance. This allows for a nitrate-free period of 10 to 12 hours during each 24-hour period, reducing the risk of developing tolerance to the medication. Choice B is incorrect because cutting the patch could alter the dose delivery and is not recommended. Choice C is incorrect as removing the patch for 30 minutes when a headache occurs may not be effective in managing symptoms. Choice D is incorrect as Nitroglycerin patches are usually applied once daily, not every 48 hours.

5. What teaching should be provided to a patient following cataract surgery?

Correct answer: A

Rationale: The correct teaching to provide to a patient following cataract surgery is to avoid NSAIDs. NSAIDs should be avoided post-cataract surgery to reduce the risk of bleeding. Choice B, wearing dark glasses outdoors, is important to protect the eyes from bright light but is not directly related to medication use. Choice C, stating that creamy white drainage is normal, is incorrect as drainage should be monitored for excessive redness, swelling, or pain. Choice D, avoiding alcohol, is not a direct post-cataract surgery teaching point related to medication use.

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