the nurse assesses the client's postoperative wound and determines that the wound is I flamed ,most...
the nurse assesses the client's postoperative wound
and determines that the wound is I flamed ,most likely because of
an infection,when noting what classic symptoms?
Homework Answers
Classical symptoms of inflamed wound are (in latin) color ,dolor,rubor,tumor and fanctiolaesa . Color refers to heat, dolor refers to pain , rubor refers to redness, tumor refers to swelling and fanctiolaesa refer to loss of function .
In inflamed wound there is high temparture , swelling of wound sign , drainage from the wound side , and feeling of malaise.
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the nurse assesses the client's postoperative wound
and determines that the wound is I flamed ,most...
Case Studies, Chapter 32, Skin Integrity and Wound Care 1. You are a nurse in a...
Case Studies, Chapter 32, Skin Integrity and Wound Care 1. You are a nurse in a medical-surgical unit in a hospital caring for a 27-year-old professional football player who underwent surgery to repair a compound fracture of his femur. The surgery went smoothly and you are responsible for his postoperative care after he returns from PACU. (Learning Objectives 1 and 2) a. What is his skin's role in preventing infection before surgery? b. Describe how you would expect his wound to heal. C. Indicate...
A nurse assesses a client who is experiencing an acid-base imbalance. The client's arterial blood gas...
A nurse assesses a client who is experiencing an acid-base imbalance. The client's arterial blood gas values are pH 7.33, PaO2 88 mm Hg. PaCO2 38 mm Hg, and HCO3- 19 mEq/L. Which assessment should the nurse perform first? A. Cardiac rate and rhythm B. Skin and mucous membranes C. Musculoskeletal strength D. Level of orientation A nurse assesses a client who is admitted with an acid-base imbalance. The client's arterial blood gas values are pH 7.32, PaO2 85 mm...
1. A postoperative client's temperature is 95.9°F (35.5°C). What additional assessment findings should the nurse ant...
1. A postoperative client's temperature is 95.9°F (35.5°C). What additional assessment findings should the nurse anticipate? Select all that apply. 1. Cool fingers and toes. 2. Capillary refill < 3 seconds. 3. Diaphoresis. 4. Perioral cyanosis. 5. Goosebumps.
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A nurse is caring for a patient whose wound is draining heavy serosanguineous exudate. Which nursing...
A nurse is caring for a patient whose wound is draining heavy serosanguineous exudate. Which nursing intervention would be most effective for preventing infection for this patient? a) Monitoring the wound for redness, swelling, and purulent drainage b) Changing the dressing as ordered when it becomes soiled c) Notifying the health care provider if the patient develops a fever or an increased WBC count d) Wearing gloves, gown, mask, and eyewear during dressing changes
1. The nurse is caring for a patient who has a pressure ulcer on his back....
1. The nurse is caring for a patient who has a pressure ulcer on his back. What nursing interventions would the nurse perform? a. The nurse places a foam wedge under his body to keep weight off the patient's back b. The nurse uses a ring cushion to protect reddened areas from additional pressure C. The nurse increases the amount of time the head of the bed is elevated d. The nurse uses positioning devices and techniques to maintain posture...
You are caring for a postoperative patient following abdominal surgery. The patient has an IV. Foley...
You are caring for a postoperative patient following abdominal surgery. The patient has an IV. Foley catheter, and NG tube to low wall suction. If the patient's dark brown gastric drainage becomes bright red, what is your priority intervention? Q. Decrease the amount of wall suction. R. Call the appropriate health care provider. s. Order stat hematocrit and hemoglobin. Irrigate the NG tube with warm water. T. You are caring for a postoperative patient following abdominal surgery. The patient has...
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Wound Infection - Amikacin JN, a 46-year old woman, has a wound infection. The culture report stated that the infection was caused by Pseudomonas aeruginosa. JN’s temperature was 102o F at the time of the culture. Amikacin sulfate is to be administered intravenously in 100 mL D5W over 45 minutes every 8 hours. The dosage is 15 mg/kg/day in three divided doses. JN weighs 165 pounds. 1. What is the drug classification of amikacin? 2. How many milligrams of amikacin...
Gary I. Sanchez, M.D. PREOPERATIVE DIAGNOSIS: Necrotizing wound infection, one week status post Cesarean section. POSTOPERATIVE...
Gary I. Sanchez, M.D. PREOPERATIVE DIAGNOSIS: Necrotizing wound infection, one week status post Cesarean section. POSTOPERATIVE DIAGNOSIS: Same. PROCEDURE PERFORMED: Wide wound exploration; excision of necrotic skin and subcutaneous tissue; debridement of abscesses. Frozen section obtained intraoperatively revealed a mixed picture of granulation tissue, inflammation, and necrotic tissue. The necrosis did not extend to the edge of resection. The edge of resection was viable. PROCEDURE: After good general endotracheal anesthesia, the patient was prepped and draped in the usual sterile...
A 7-month-old infant is brought to the pediatric clinic for a well-child visit. The nurse assesses...
A 7-month-old infant is brought to the pediatric clinic for a well-child visit. The nurse assesses several of the infant's behaviors. What behavior is most unusual for an infant of this age? Putting clothespins in a plastic bottle Playing with the toes during the examination Clinging to the parent when the nurse approaches Sitting unsupported for brief periods on the examination table
A nurse assesses a client who is experiencing an acid-base imbalance. The client's arterial blood gas values are pH 7.33, PaO2 88 mm Hg. PaCO2 38 mm Hg, and HCO3- 19 mEq/L. Which assessment should the nurse perform first? A. Cardiac rate and rhythm B. Skin and mucous membranes C. Musculoskeletal strength D. Level of orientation A nurse assesses a client who is admitted with an acid-base imbalance. The client's arterial blood gas values are pH 7.32, PaO2 85 mm...
1. A postoperative client's temperature is 95.9°F (35.5°C). What additional assessment findings should the nurse anticipate? Select all that apply. 1. Cool fingers and toes. 2. Capillary refill < 3 seconds. 3. Diaphoresis. 4. Perioral cyanosis. 5. Goosebumps.
1. The nurse is caring for a patient who has a pressure ulcer on his back. What nursing interventions would the nurse perform? a. The nurse places a foam wedge under his body to keep weight off the patient's back b. The nurse uses a ring cushion to protect reddened areas from additional pressure C. The nurse increases the amount of time the head of the bed is elevated d. The nurse uses positioning devices and techniques to maintain posture...
You are caring for a postoperative patient following abdominal surgery. The patient has an IV. Foley catheter, and NG tube to low wall suction. If the patient's dark brown gastric drainage becomes bright red, what is your priority intervention? Q. Decrease the amount of wall suction. R. Call the appropriate health care provider. s. Order stat hematocrit and hemoglobin. Irrigate the NG tube with warm water. T. You are caring for a postoperative patient following abdominal surgery. The patient has...
A 7-month-old infant is brought to the pediatric clinic for a well-child visit. The nurse assesses several of the infant's behaviors. What behavior is most unusual for an infant of this age? Putting clothespins in a plastic bottle Playing with the toes during the examination Clinging to the parent when the nurse approaches Sitting unsupported for brief periods on the examination table
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