11.A nurse is changing the dressings for a client who has 2 Penrose drains near an abdominal incision. Which of the followingadhering devices is the best choice for the nurse to use to decrease skin irritation?a.Abdominal binderi.An abdominal binder can hold the dressings in place and decrease skin irritation while the client rests inbed; however, when the client ambulates, the dressings tend to slide out. Securing the dressings first isthe preferred method when applying a binder. Therefore, the nurse should use a less-restrictiveintervention first.b.Montgomery strapsFundamentals 21.A nurse is replacing the surgical dressings on a client who had abdominal surgery.Which of thefollowing actions should the nurse take?Don clean gloves to remove the old dressing.The nurse should use standard precautions by applying clean gloves whenever there is apossibility of coming into contact with secretions. Removing soiled dressing is a procedure thatrequires wearing clean, non-sterile, gloves. Sterile gloves are not necessary until the nurseapplies new sterile dressing.2.A nurse is caring for a client who has a mastectomy and has a self suction drainage evacuator inplace. Which of the following actions should the nurse take to ensure proper operation of thedevice?Collapse the device of air after emptyingThe nurse should collapse the device of air after emptying the contents periodically to createenough suction to pull fluid exudate into the collection area of the device.3.A nurse is collecting a urine specimen for culture ans sensitivity for a client who has a urinarytract infection. The client has an indwelling urinary catheter in place. Which of the followingactions should the nurse take?Clamp the tubing below the collection port.The nurse should clamp the tubing below the collection port to allow fresh uncontaminatedurine to collect before withdrawing the specimen through the port and placing it in a sterilespecimen cup.4.A nurse is providing teaching to a group of unit nurses about wound healing by secondaryintention. Which of the following information should the nurse including in the teaching?Granulation tissue fills the wound during healing.The nurse should include in the teaching that a beefy, red tissue called granulation tissue fills thewound during healing. The wound is left open to drain and heal by secondary intention thatshould occur within 5 to 21 days. Open wounds place the client at an increased risk for woundinfection.5.A nurse is providing teaching to a client who has a new colostomy about proper care. Which ofthe following information should the nurse include in the teaching?Cleanse the skin around the stoma with warm waterThe nurse should instruct the client to cleanse the skin around the stoma with warm water,because using soap can leave a residue on the skin and cause poor adherence of the pouchadhesive6.A nurse is helping a client change his hospital gown. The client has an IV infusion on an infusionpump. Which of the following actions should the nurse take first?Remove the sleeve of the gown from the arm without the IV line.
