A nurse is preparing to irrigate a client's wound. Which of the following actions should the nurse plan to take?

Use a 10-mL syringe filled with cleansing solution.

Dry the wound bed with gauze squares.

Cleanse the wound with cotton balls.

Hold the syringe tip 2.5 cm (1 in) above the upper end of the wound.

Answer and Explanation

The Correct Answer is A

A.   Using a 10-mL syringe filled with cleansing solution provides appropriate pressure for effective wound irrigation.
B.   Drying the wound bed with gauze squares is not typically recommended as it may disrupt healing and cause trauma to the wound.
C.   Cleansing the wound with cotton balls may leave fibers behind and is not the most effective method of wound irrigation.
D.   Holding the syringe tip 2.5 cm (1 in) above the wound is incorrect; the tip should be inserted into the wound to facilitate thorough irrigation.

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Correct Answer is A

Explanation

A. The hypoglossal nerve is tested by checking for tongue deviation.

B. This action tests the facial nerve

C. This action tests the trigeminal nerve

D. This action tests the spinal accessory nerve

A. "There has been too much complaining about these changes." B. "So you are upset about all of the recent changes on the unit?" C. "Why don't you just file a formal complaint with Human Resources?" D. "Please, try to wait a little longer. Things will get better soon."

Correct Answer is B

Explanation

A. Dismissing the employee's concerns by stating there has been too much complaining is not empathetic or supportive.
B. This response acknowledges the employee's feelings and opens the door for further discussion about their concerns, allowing the charge nurse to address them.
C. Suggesting filing a formal complaint with Human Resources may escalate the situation unnecessarily and should not be the initial response.
D. While expressing optimism about the situation may be well-intentioned, it does not address the employee's concerns or offer support.

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A nurse is preparing to irrigate a client's wound. Which of the following actions should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data about cranial nerve function from an adult client. Which of the following images depicts the method the nurse should use to check the function of the hypoglossal cranial nerve (XII)? Image A B. C. Image B Image C Image D

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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