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NUR NUR 1234 ATI MEDSURG PRACTICE

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31. A nurse is caring for a patient who requires intubation for respiratory support. An Endotracheal tube is inserted, but the patient’s respiratory status is still compromised and the nurse suspec ... ts the tube may be in the right bronchus. How would the nurse confirm her suspicion? Answer: The patient would have absent lung sounds on left 32. The nurse is caring for a patient receiving radiation therapy for a malignancy. What instructions would the nurse give the patient regarding the care of the site following the radiation treatment? Pg1004 Answer: Gently pat the area dry, do not rub. o Rationale: Patient’s receiving external radiation therapy (ERT) are instructed to wash the area with mild soap or water, gently pat the area dry. They are told to be careful not to wash off the radiation “tattoos” which are skin markings that mark where to apply the radiation. Patients are also advised to wear soft, loose, non-restrictive clothing which implies an occlusive dressing is contraindicated as well. They are instructed not to apply any lotions, perfumes, powders, or deodorants to the site. 33. When performing a wound culture of a wound with eschar and exudate; using a sterile cotton swab, the culture should be obtained by: Answer: Using a circular motion in the pool of exudate [Show More]

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