A nurse is caring for a 10 month old who is currently experiencing diaper dermatitis. The nurse should educate the parents of the infant that treatment for diaper dermatitis includes which of the following? (Select all that apply):
What is changing the diaper frequently, washing and cleansing the skin with water and a soap-free cleanser, and use topical emollients to provide a barrier between the skin and diaper (B,C,D)
During this procedure, dead tissue and accumulated debris are removed with a scalpel or scissors
what is surgical debridement
This condition causes the loss of central vision, impairing tasks such as reading, driving and recognizing faces
what is macular degeneration
The nurse should ensure the site is clean, dry, intact, and free of wounds or irritation for this type of medication administration
What is transdermal patch
What devices are used to intermittently apply pressure to the lower extremities, reducing the risk of deep vein thrombosis by promoting venous blood flow?
What is sequential compression devices
What is front to back
A nurse notices drainage coming from a wound it contains serum and red blood cells, they should document the fluid as
What is sanguineous drainage
The nurse notices nonblanchable deep maroon discoloration on the patients sacrum, this should be documented as
What is deep tissue pressure injury
What is 30 degrees
What is inside of clients wrist while standing straight
A nurse notices a small (less than 1 cm in diameter) superficial lesion, filled with serous fluid. What kind of skin lesions is the nurse observing?
What is a vesicle
What is Proprioception
What is grade 2
What is alginate dressing
What is Polymeric membrane
What is Drains are usually removed when the drainage is less than 30 to 100 mL per day.
What is notify the provider and cover the wound with sterile, saline-moistened dressing
What is in a continuous stream from the cleanest to the most contaminated area of the wound
Medications that are associated with an increased risk of harm if an error occurs and typically have safeguards in place are called what?
What is High Risk Medications
What is 2.5 tablets
What is VII / Vestibulocochlear
What is anosmia
Maintains a moist wound bed
Supports granulation tissue formation
Good for clients who cannot tolerate surgical debridement
Stage 1–2 pressure injuries
What is 5 -
The JP drains require accurate documentation ( time, amount and color) and are emptied q8hr or when half full.
A nurse is caring for a patient with a penrose drain. What intervention is priority?
A. make sure the drain is connected to a suction
B. Monitor the wound for signs for infection
C. Drain wound q2hrs
D. wash the wound with NS
What is B A penrose is an open system which means it is a risk for infection