A nurse applies hand mitts to a patient who has been repeatedly scratching himself. While assessing the patient's skin, the nurse notes scrapes where the patient had scratched. The nurse identifies this as
1. Mottling.
2. Maceration.
3. Excoriation.
4. Evisceration.
ANS: 3
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What does the planning hierarchy from top (narrow) to bottom (wider) represent?
A) Philosophy, mission statement, goals, objectives, policies, procedures, rules B) Goals, mission statement, philosophy, objectives, rules, policies, procedures C) Mission statement, philosophy, goals, objectives, policies, procedures, rules D) Objectives, goals, philosophy, mission statement, rules, policies, procedures
A client with chronic lymphangitis of the lower extremities asks the nurse how often she should wear elastic stockings. The nurse explains:
A) "You should wear them at all times, only taking them off to bathe." B) "It is best to wear them during the waking hours and remove them when sleeping." C) "You should wear them when your legs feel heavy or are painful for you." D) "It is only necessary to wear them if you notice an increase in swelling."
Which statement accurately describes communication?
a. The components of communication are mutually exclusive. b. Communication is linear. c. Communication involves only the sender and the receiver; everything else is superficial. d. When the receiver becomes the sender, the subcomponent of communication that is in use is feedback.
The nurse would determine that medication education for a client prescribed sildenafil (Viagra) was successful when the client states which of the following?
1. "Grapefruit juice will decrease the effects of sildenafil (Viagra). " 2. "Sildenafil (Viagra) should be taken with food.". 3. "I can take only one pill in a 24-hour period.". 4. "I can take sildenafil (Viagra) anywhere from one to six hours before sex.".