Which of the following would be considered an observable sign of complications or problems in wound healing?
A. The patient reports less discomfort or pain from the wound site.
B. There is increased mobility of a body part that has a wound.
C. There are new breaks in the skin around the wound.
D. There is less discoloration of a body part that has a wound or injury.
Answer: C
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The use of electronic health records:
a. improves patient health status. b. requires a keyboard to enter data. c. has not been shown to reduce medication errors. d. requires increased storage space.
The emergency department (ED) nurse determines that the client may be having a myocardial infarction. Which assessment findings support the nurse's conclusion? Select all that apply
1. Blood pressure has dropped from normal and is 90/52. 2. Apical heart rate is 114 beats per minute. 3. Skin is flushed and warm. 4. Respiratory rate is 28 per minute. 5. The client is complaining of a headache.
Which of the following statements regarding short-term goals is accurate?
a. Short-term goals are broad rather than specific. b. Short-term goals can be accomplished within days or hours. c. Short-term goals must be accomplished while the patient is hospitalized. d. Short-term goals are less realistic than long-term goals.
A nurse is measuring the chest circumference of a child. What should the nurse know
with reference to the chest measurement? A) A newborn's head is as large as the chest. B) A 2-year-old child's head is larger than the chest. C) A 5-year-old child's head is 2 to 3 inches smaller than the chest. D) The chest should be measured an inch below the nipple line.