A patient, age 54, is admitted with a diagnosis of venous ulceration unresponsive to treatment. Which of the following is the nurse most likely to find during an assessment of a patient with venous ulceration?
A) Gangrene
B) Heavy exudate
C) Deep wound bed
D) Pale wound bed
Ans: B
Feedback: Moderate to heavy exudate is one characteristic of a venous ulcer. Other characteristics include irregular wound margins, superficial wound bed, and ruddy, granular tissue. Options A, C, and D are incorrect because they're characteristics of arterial ulcers.
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a. time management skills c. caring b. self-evaluation d. self-discipline
Which dietary selection should lead the nurse to conclude that the dietary teaching is successful for a patient on a low-sodium diet?
a. Bologna sandwich with tomato juice b. Hotdog on a bun with pickle relish and skim milk c. Baked chicken, white rice, and apple juice d. Peanut butter and jelly sandwich with to-mato soup
A nurse cautions a group of individuals with COPD that using O2 at levels greater than 1 to 3 L/min can cause the loss of their _____
Fill in the blank(s) with correct word
Which findings will alert the nurse that stress is present when making a clinical decision? (Select all that apply.)
a. Tense muscles b. Reactive responses c. Trouble concentrating d. Very tired feelings e. Managed emotions