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 B

Explanation

A. Using overhead lighting can disrupt the client's sleep by increasing stimulation; instead, use minimal lighting during nighttime assessments.
B. Keeping the door to the client's room closed can help reduce noise and disturbances from the hallway, promoting a more conducive sleep environment.
C. Providing snug-fitting nightwear may not directly address the underlying causes of insomnia and might not be effective for all clients.

D. Administering diuretics in the evening may exacerbate nocturia and disrupt sleep patterns; instead, diuretics are typically given earlier in the day to minimize nighttime urination.

A. Bowling B. Walking C. Passive range-of-motion exercise D. Jogging

Correct Answer is B

Explanation

A. Bowling: While bowling involves some physical activity, it may not provide sufficient weight-bearing exercise needed to strengthen bones.
B. Walking: Walking is a weight-bearing exercise that helps improve bone density, making it an ideal recommendation for someone at risk for osteoporosis.
C. Passive range-of-motion exercise: While beneficial for maintaining joint flexibility,

passive range-of-motion exercise does not provide the same bone-strengthening benefits as weight-bearing exercises like walking.
D. Jogging: Jogging is higher-impact and may not be suitable for all older adults, especially those at risk for osteoporosis, due to the risk of injury.

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