Funds Test 3
A client is admitted with extensive bone and soft-tissue injuries to the leg. Sterile dressings are applied. Two days later, when removing the dressings, the nurse finds that one of the dressings has adhered to tissue in several places. Which action should the nurse take to loosen the dressing?
Moisten the dressing with sterile saline.
A client arrives in the emergency department with multiple crushing wounds of the chest, abdomen, and legs. Which are the priority nursing assessments?
Quality of respirations and presence of pulses
The registered nurse is teaching the student nurse about precautions to take when treating a client with open burn wounds. Which statement made by the student nurse indicates the need for further teaching?
"I should use non-sterile gloves when applying ointments."
A state's Nurse Practice Act (Canada: Provincial/Territorial Registered Nurse Act) does not allow a registered nurse (RN) to suture wounds. The primary healthcare provider offers to teach the RN how to suture and tells the RN that minor wounds may be sutured without supervision. Which action should the nurse take?
Refuse to suture wounds
Which client should the nurse most likely suspect to have a bacterial infection when dressing the wounds of four postoperative clients?
foul odor from the wound when the dressing is changed