The nursing assessment of a pressure ulcer includes size, depth, pain, odor, and color of tissue. What does this evaluate?
a. Treatment needed
b. Effectiveness of implementation
c. Whether improvement is occurring
d. Need for additional interventions
ANS: C
Ongoing assessment of a pressure ulcer will evaluate whether improvement is occurring.
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While working on the orthopedic unit, the nurse finds an assigned client pulseless and not breathing. When the code team responds, which action by the nurse is appropriate?
1. Leaving the room and calling the family members to notify them of the sudden change in the client's condition 2. Getting the crash cart and emergency supplies that will be needed by the code team 3. Participating in the code in whatever role is necessary 4. Standing at the bedside and answering questions as they arise
65ºf = ________
A. 18.3ºC B. 1.8ºC C. 10ºC D. 15ºC
Sara Thomas is scheduled for liposuction surgery to reduce her weight. Based on urgency, how is this surgery classified?
A) urgent B) elective C) emergency D) emergent
The nurse is giving discharge instructions to the parents of a child whose adrenal glands have been removed due to a tumor. Which parental statement indicates the need for further education?
1. "I will call the doctor if my child has restlessness and confusion." 2. "If my child has any gastric irritation, I will give him antacids." 3. "If my child has vomiting and diarrhea, I will hold his hydrocortisone." 4. "I will give my child his hydrocortisone in the morning."