1. A nurse is reinforcing discharge teaching about wound care with a family member

of a client who is postoperative. Which of the following should the nurse include in

the teaching?

a) Administer an analgesic following wound care.(The nurse should remind the

family member to administer an analgesic prior to wound care to prevent

discomfort.)

b) Irrigate the wound with povidone iodine.(The nurse should remind the family

member to irrigate the wound with 0.9% sodium chloride.)

c) Cleanse the wound with a cotton-tipped applicator.(The nurse should remind the

family member to avoid using a cotton-tipped applicator to cleanse the wound

because the fibers can become embedded in the wound, cause infection, and delay

wound healing.)

d) Report purulent drainage to the provider.(The nurse should remind the family

member to report signs of infection, including purulent drainage.)

2. A nurse is caring for a client who has bacterial meningitis. Upon monitoring the

client, which of the following findings should the nurse expect?

a) Flaccid neck(The nurse should recognize that nuchal rigidity, rather than a flaccid

neck, is a manifestation of meningitis.)

b) Stooped posture with shuffling gait(The nurse should recognize that a stooped

posture with shuffling gait is a manifestation of Parkinson's disease, not a

manifestation of meningitis.)