A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage

A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. Which intervention is most important to include in this patient's nursing care plan? (a). Administer Oct 25, 2023 · The nurse cares for a patient with an abdominal wound. Which action should the nurse identify as as an indication of correct use?, A nurse is reviewing a client's fluid The nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. Which of the following types of transmission precautions should the nurse initiate? A. Which of the following types of transmission precautions should the nurse initiate? a)Protective environment b)Airborne precautions c)Droplet precautions d)Contact precautions Oct 7, 2023 · In this scenario, where a nurse is admitting a client who has an abdominal wound with a large amount of purulent tissue drainage, the type of transmission precautions the nurse should initiate are Contact Precautions. Which of the following types of transmission precautions should the nurse initiate? Contact precautions Major wound infections require contact precautions, which means the nurse should admit the client to a private room. Alginate dressing C. Wound size. Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client's wound dressing, and observes a watery red drainage. Which of the following findings should the nurse expect?, A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. Purulent c. Have a bite from an animal or human. Obtain wound cultures. Which of the following types of transmission precautions should the nurse initiate? a. contact precautions The nurse is caring for an obese client who has had abdominal surgery. Which of the following types of transmission precaution should the nurse initiate? Reassure the client that this is an expected response to grief A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. , The nurse is reviewing the clients medical record. Semipermeable transparent film, The nurse is planning to replace a (Shigella is a bacteria causes infection and can spread easily which causes diarrhea which often is bloody), A nurse is caring for a client who has a sodium level of 125 mEq/L. Contact precautions 2. Which of the following types of transmission precaution should the nurse initiate? Click the card to flip 👆 Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage (pus). Blood cultures × 2, 5 minutes apart C. C&S of abdominal wound drainage D Study with Quizlet and memorize flashcards containing terms like A client who has undergone abdominal surgery calls the nurse and reports that she just felt "something give way" in the abdominal incision. The nurse asks the client to sign a permit for a procedure. mixture of serum and red blood cells b. 39. subjective data. The wound seems to be healing, and healthy tissue is observed. Study with Quizlet and memorize flashcards containing terms like The nurse cares for a client with an abdominal wound. Here’s the best way to solve it. c. The bladder (inside the cuff) should surround 80% of the arm circumference. What is the phase of wound healing characterized by the nurse's assessment? A) Proliferation phase B) Hemostasis C) Inflammatory phase D) Maturation phase, Upon responding to the Wound healing is a complex physiological process that restores function to skin and tissue that have been injured. It’s similar to blood plasma, and a certain amount Study with Quizlet and memorize flashcards containing terms like Upon assessment of a client's wound, the nurse notes the formation of granulation tissue. Hydrocolloid dressing D. Airborne precautions Mar 6, 2024 · In some cases, you will see something called purulent drainage from your wound. Wound assessment should include the following components: Anatomic location. The nurse checks the incision and notes the presence of wound dehiscence. Serous b. b. Wounds should be assessed and documented at every dressing change. Assess the wound every 2 hours. Which action should the nurse take first? A. Which of the following actions should the nurse take? (select all that apply), The nurse is providing teaching for the client who has A nurse assessing a client's wound documents the finding of purulent drainage. The nurse is monitoring a patient with a stage III pressure ulcer. What will the nurse do? a. Droplet precautions 4. d) There is a foreign body in Contact precautions Major wound infections require contact precautions, which means the nurse should admit the client to a private room. Which of the following types of transmission precautions should the nurse initiate? Protective environment. A scant amount of purulent drainage is noted at the site. Which of the following types of transmission precautions should the nurse initiate? Contact precautions A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. Which of the following findings should the nurse identify as an indication that the client has developed thrombophlebitis? a. How does the nurse correctly document this finding in the medical record?, A Jan 13, 2024 · A nurse is admitting a client who has a abdominal wound with a large amount of purulent drainage. Apply extra gauze to the new dressing. Which terminology will the nurse use to document the client's wounds?, The nurse is providing care for a client after surgery for repair for a Study with Quizlet and memorize flashcards containing terms like Thirty-six hours after having surgery, a patient has a slightly elevated body temperature and generalized malaise, as well as pain and redness at the surgical site. Decreased Blood pressure c. The client expresses frustration with their current Many factors can contribute to the development of pus. Diminished bowel sounds, A nurse is administering an otic The nurse notes that the client has a large abdominal wound with negative pressure wound therapy applied. Have a wound that’s deep, large or jagged. The nurse should take which immediate action - Document the findings - Contact the primary health care provider Study with Quizlet and memorize flashcards containing terms like The nurse determines that the client's wound may be infected. Which of the following types of transmission precautions should the nurse initiate?, A nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer. Use the same technique as for collecting an anaerobic culture, Pressure A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. " The nurse would interpret this as:, The nurse is caring for a client with an accumulation of 2. This is due to the chance of the infection being spread through direct or indirect contact. Droplet precautions D. b) The suture line is reddened. Sanguineous d. dropletD. 3 Assessing Wounds. c) Wound edges are 1-1/2 inches apart. Study with Quizlet and memorize flashcards containing terms like The wound care nurse visits a patient in the long-term care unit. Which of the following actions should the nurse take when Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. The client has abdominal pain of 10 on a pain scale of 1 to 10. Gently irrigate the drain to remove exudate. Feb 5, 2024 · For a client with an abdominal wound and purulent drainage, the nurse should use contact precautions to prevent the spread of infection by direct or indirect transmission. Which of the following actions should the nurse implement? a. Which of the following types of transmission precautions should the nurse initiate?, A nurse is caring for a client who is post-op following a knee arthroplasty and requires the use of thigh-length sequential compression Study with Quizlet and memorize flashcards containing terms like Click to highlight the assessment finding below that the nurse should report to the provider. Calf swelling d. Fetor 2. Ask the client to identify the level of pain on a numeric scale. Which of the following types of transmission precaution should the nurse initiate? A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. large numbers of red blood cells c. Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. d. Powered by Chegg AI. Contact the health care provider B. The nurse recognizes that the drainage is an example of: a judgment. Which action does the nurse take first?, The nurse identifies which change in the genitourinary system is usually associated with client aging?, Following a total hip arthroplasty, the older adult client is prescribed prevent noisy respirations 1 2 A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. Which type of transmission precautions should the nurse initiate?, A nurse is evaluating a client's use of a cane. Don sterile gloves. Which of the ATI RN Fundamentals Online Practice 2019 A with NGN Questions And Answers following types of transmission precautions should the nurse initiate? - correct answer Contact Precautions Major wound infections require contact precautions Discussion PromA nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. Tylenol 650 mg PO prn q6h for temp above 101º F B. Nov 10, 2023 · Final answer: Contact Precautions should be initiated to prevent the spread of infections in this situation. The client is moderately obese and smokes one pack of cigarettes per day. clear, watery blood d. 20. Apply clean gloves. How would the nurse stage this ulcer? Stage I pressure ulcer Healing stage II pressure ulcer Healing stage III pressure ulcer Stage III In what order, after initially washing hands, should the nurse change a dressing on an infected abdominal surgical wound that has a Penrose drain and a large amount of purulent drainage? Place in priority order from first to last. , Which are examples of objective data? Select all that apply. Which of the following types of transmission precaution should the nurse initiate? Click the card to flip 👆 A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. In what order, after initially washing hands, should the nurse change a dressing on an infected abdominal surgical wound that has a Penrose drain and a large amount of purulent drainage? Place in priority order from first to last. Droplet precautions. Protective environment B. The nurse notes there is purulent drainage from the wound. What should the nurse suspect is the cause of this handwriting change? 1. The seal around the wound is intact, and a small amount of serosanguineous drainage is noted in the tubing. Remove soiled dressings. Airborne precautions 3. Collect the superficial drainage 2. an inference. Oct 4, 2023 · A nurse is admitting a client who has an abdominal wound with a large amount of purple tissue drainage. Which of the following types of transmission precautions should the nurse initiate? 1. Contact precautions. white blood cells, debris, bacteria A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. To perform an aerobic wound culture, the nurse should: 1. Jul 5, 2017 · Purulent drainage is a type of fluid that is released from a surgical or open wound. The medical record states the wound has developed a dehiscence. Document the assessment. Which dressing, if selected by the student nurse, requires further intervention by the nursing instructor? A. objective data. Have obesity. Contact the surgeon to discuss the need for antibiotics. Document the findings and continue to monitor the patient. Which of the following types of transmission precautions should the nurse initiate? A) Protective environment B) Airborne Precautions C) Droplet precautions D) Contact precautions Question: A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. Irrigate the wound D. The healing process is affected by several external and internal factors that either promote or inhibit healing. Contact precautions C. The provider orders A. Notify the health care provider. protectiveB. Contact precautions are used to prevent the spread of infectious agents that are transmitted by direct or indirect contact with the client or their environment. Explanation: When admitting a client with an abdominal wound that has a large amount of purulent drainage, the nurse should indicate contact precautions. Type of wound (if known) Degree of tissue damage. Smoke. Collect the culture before cleansing the wound 3. 4. When providing wound care to patients, nurses, in collaboration with other members of the health care team, assess and manage external and internal factors to provide Study with Quizlet and memorize flashcards containing terms like A client has a wound with a moderate amount of drainage and is scheduled for a dressing change. Discard soiled dressings and clean gloves in red bag. Ataxia 3. The client's injuries include an open fracture of the leg and multiple bruises. protective environment b. Study with Quizlet and memorize flashcards containing terms like The nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. airborneC. Share Share. Sep 27, 2023 · In the scenario where a nurse is admitting a client with an abdominal wound with a large amount of purulent drainage, the most appropriate type of transmission precaution to initiate would be Contact precautions. Which of the following types of transmission precautions should the nurse initiate? A) Protective environment B) Airborne precautions C) Droplet precautions D) Contact precautions Three days after a patient has abdominal surgery, the nurse notes a 2-cm area of erythema and swelling at the proximal end of the incision. I am available to talk if you change your mind Quiz for Next week Intervention to prevent shear Post op immobility- Goal setting Pain management Adverse reaction to pain med-signs and symptoms Priority of care for patient with skin breakdown Nursing diagnosis and priorities Priority of care for patient post-op Wound healing is a complex physiological process that restores function to skin and tissue that have been injured. You answered this question CorrectlyThe Correct Order Apply clean gloves. 2. Which of the following types of transmission precautions should the nurse initiate?, A nurse is caring for a client who requires an NG tube for stomach decompression. Asterixis A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. This is an indication that the injury has become infected. Which of the following types of transmission precautions should the nurse initiate?A. What is the composition of this type of drainage? a. Clean the area around the drain moving away from the drain. The nurse notes a moderate amount of serosanguineous drainage on the old dressing. The nurse would suspect that the patient has what kind of complication? Study with Quizlet and memorize flashcards containing terms like The nurse is assessing a client the morning of the first postoperative day and notes redness and warmth around the incision. Obtain a culturette tube and use sterile technique 4. Foam B. 5 cm of darkened tissue scar over the area of a 3-mm injury. The nurse notes there's purple to drainage from the wound. A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. Serosanguineous, A nurse is caring for a client who is postoperative following abdominal surgery. Airborne precautions C. 3. Wound edges and periwound skin. Staples are intact along the incision. contact 1) insert the suction catheter while the client is swallowing 2) apply intermittent suction when withdrawing the catheter 3) place the catheter in a location that is clean and dry for later use 4) hold the suction catheter with her clean, nondominant hand CORRECT: 2) apply intermittent suction when withdrawing the catheter 1) nurse should insert the suction catheter while the client is Mar 11, 2023 · The nurse should initiate contact precautions for the client who has an abdominal wound with a large amount of purulent drainage. Notify the surgeon His abdominal wound has a dressing that is moist with a moderate amount of purulent drainage. Which type of transmission precautions should the nurse initiate? Contact precautions (Major wound infections require contact precautions, which means the nurse should admit the client to a private room. This is because, the patient's wound drainage, which is purulent, has a high potential of harboring and transmitting infectious 38. , A client with an open Study with Quizlet and memorize flashcards containing terms like The nurse is performing a dressing change on a client who underwent abdominal surgery 6 days prior. (b). Which of the following types of transmission precaution should the nurse initiate?, A nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer. Got a wound from a dirty or contaminated object. Explanation: When a client has an abdominal wound with a large amount of purulent drainage, the nurse should initiate Contact Precautions. Apraxia 4. The area is tender and warm to the touch. All caregivers should wear a gown and gloves during direct contact with this client Clients who have a compromised immune system require a protective environment Airborne precautions are a requirement for a client who have infections that spread via droplet Study with Quizlet and memorize flashcards containing terms like The nurse is reviewing assessment documentation of a client's wound and notes "purulent drainage. Drainage may have become purulent if the amount of liquid increases or the consistency of the liquid The nurse is caring for a client with possible hepatic failure. Twenty minutes later, the nurse calls the health care provider to report the abnormal findings. Which of these does the nurse anticipate finding when changing the dressing? a) Wound has purulent drainage. Which of the following types of transmission precautions should the nurse initiate? Protective environment Airborne precautions Droplet precautions Contact precautions O A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. Remove the drain if wound drainage is minimal. Place the patient on contact precautions C. droplet precautions d. The nurse recalls the client's admission signature as legible, but, now observes a jerky, illegible signature. Wound bed. Option D is correct. Primary Secondary Teritiary Quaternary, The nurse is assessing the client's abdominal wound and notes yellow-green purulent wound drainage. For example, you might be more likely to get purulent drainage if you: Are immunocompromised. The tissue easily bleeds when the nurse performs wound care. airborne precautions c. When providing wound care to patients, nurses, in collaboration with other members of the health care team, assess and manage external and internal factors to provide Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has required bed rest for the past month. Airborne precautions. Which of the following types of transmission precaution should the nurse initiate? Reassure the client that this is an expected response to grief Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client admitted through the emergency department (ED) following an accident. to deselect a finding click on the finding again. , The nurse is admitting a client with acute appendicitis to the emergency department. The nurse discovers a loop of bowel . Which of the following types of transmission precautions should the nurse initiate? contact precautions-major wound infections require contact precautions, which means the nurse should admit the client to a private room. Bladder distention b. Protective environment 2. The nurse should document this drainage as which of the following? a. Which of the following types of transmission precautions should the nurse initiate? Choose matching definition Science; Nursing; Nursing questions and answers; a nurse is admitting a client who has an abdominal wound with a large amount of pearlulent drainage which of the following types of transmission precautions should the nurse initiate protective environment airborne precautions droplet precautions contact precautions A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. sbkkedx aflm epfxlam fuvjjnrz mmzrzj wcnidl mrcrt afg wqmtovc xftlz