The nurse is caring for a critically ill patient who has lost a large portion of skin. During the patient's bath, the nurse raises the temperature in the room. What lost function of the skin is the nurse compensating for?
A) Protection from microbes
B) Protection from water loss
C) Body heat regulation
D) Organ cushioning
C
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While providing foot care to a client diagnosed with diabetes mellitus, the nurse notes very dry skin. Which action by the nurse is the most appropriate?
1. Apply a pleasantly scented lotion to the foot, using care to rub the lotion in between the toes. 2. Assist the client to soak the feet in warm water twice a day. 3. Instruct the client to avoid the use of lotions and creams. 4. Instruct the client to use a nonscented lotion, avoiding the area between the toes.
The nurse is accessing an expert system while providing patient care. Which of the following is a way that this expert system aids the nurse?
a. Calculates intake and output b. Creates a unit budget c. Schedules follow-up physician appointments d. Generates a list of appropriate nursing diag-noses
A patient's chest excursion should be measured to assess for:
A) Complete or partial airway obstruction. B) Pleural effusion. C) Pneumothorax. D) All of the above.
A guaiac test is ordered for a patient. Which type of blood is the nurse checking for in this patient's stool?
a. Bright red blood b. Dark black blood c. Microscopic d. Mucoid