Which technique should the nurse employ to best assess skin turgor?
a. Examine mucous membranes of the mouth.
b. Compare limbs for similar color.
c. Pinch a skinfold on chest to assess for tenting.
d. Palpate the ankles for evidence of pitting edema.
C
Skin turgor can be assessed by tenting the skin on the chest and recording the speed at which the "tent" subsides.
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A 48-year-old patient with acromegaly is not a candidate for other therapy. What medication, administered subcutaneously, would the nurse caring for the patient expect the physician to order?
A) Gonadorelin hydrochloride (Factrel) B) Octreotide (Sandostatin) C) Nafarelin (Synarel) D) Gonadorelin acetate (Lutrepulse)
When planning care for a client with somatic symptom disorder the nurse knows that which activity is the most important?
1. Determine patient needs in each of the five domains. 2. Determine patient willingness to try new interventions. 3. Review patient daily journal to obtain a realistic view of the patient's activities. 4. Encourage interactions with family and friends to keep the patient's mind off of somatic issues.
Identify the nurse who is acting as a community health nurse. Choose all that apply
1) School nurse who provides screening and direct care in the elementary school 2) Parish nurse who offers health education after services each Sunday 3) Nurse who works for the Red Cross by providing disaster relief 4) A nurse administering vaccines to inmates in a correctional facility
The nurse is providing discharge teaching to a client after a lumbar laminectomy. For which complication does the nurse instruct the client to return to the hospital?
a. Pain at the incision site b. Decreased appetite c. Slight redness and itching at the incision site d. Clear drainage from the incision site