A nurse is assisting with discharge planning for an older adult client who will require dressing changes for a healing pressure ulcer twice daily at home. Which of the following services should the nurse recommend?
Adult day care
Long-term care
Wound care
Palliative care
The Correct Answer is C
A. Adult day care is a service that provides care and supervision to adults who need assistance during the day, often due to physical or cognitive impairments. However, it may not be specifically geared toward providing wound care services.
B. Long-term care typically involves comprehensive, ongoing assistance with activities of daily living for individuals who have chronic illnesses or disabilities. While wound care may be part of long-term care, it's not the primary focus, and it is often provided in various settings, including home care.
C. Wound care is the most appropriate recommendation for an older adult client requiring dressing changes for a healing pressure ulcer. This service may include home health nursing visits to perform the necessary wound care, monitor healing progress, and provide education to the client and their caregivers.
D. Palliative care is focused on providing relief from the symptoms and stress of a serious illness, and it can be appropriate for clients with chronic conditions. However, in this scenario, the primary need is for wound care rather than palliative care.
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Correct Answer is C
Explanation
A. Changing the dressing is an action that comes after assessing and selecting the appropriate dressing. Before changing the dressing, the nurse needs to gather information and make decisions about the most suitable type of dressing based on the characteristics of the wound.
B. Selecting the appropriate dressing is an essential step, but before doing so, the nurse should review available dressing types to make an informed decision about which dressing will best meet the needs of the wound. This involves considering factors such as the wound's characteristics, exudate level, and the overall condition of the client.
C. Reviewing available dressing types is the first step because it allows the nurse to assess the wound, gather information about the client's condition, and make an informed decision about the most appropriate dressing. This step ensures that the chosen dressing aligns with the wound's characteristics and promotes optimal healing.
D. Documenting the dressing change is an important step in the process, but it typically occurs after the dressing change has been completed. Documentation is crucial for tracking the client's progress, ensuring continuity of care, and providing a record for other healthcare team members.
Correct Answer is ["12"]
Explanation
To calculate the volume (mL) that the nurse should administer, you can use the following formula:
Volume (mL) = Dose (mg)/Concentration (mg/mL)
In this case:
Volume = 300 mg/ (125mg/5 mL)
First, simplify the fraction:
Volume = 300 mg/25 mg/mL
Now, determine the volume:
Volume =(300 mg/25mg/mL) × (1mL/1mg)
Volume=12mL
Therefore, the nurse should administer 12 mL of phenytoin oral suspension for the 300 mg PO dose, rounded to the nearest whole number.
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