The nurse is performing an assessment on a dark-skinned individual. After completing the assessment, the nurse records the findings. Which of the findings indicates a problems requiring further action?
A) Bluish gums
B) Bluish tones noted on the soles of the feet
C) Freckle-like spots on the borders of the tongue
D) Bluish tones to the lips
B
You might also like to view...
The client has been taking his schizophrenia medication for 3 weeks and his hallucinations are gone, but he now feels unable to sit still and complains of inability to make his body do what he wants it to
His nurse suspects that the client is experiencing 1. tardive dyskinesia. 2. the usual side effects. 3. an anticholinergic reaction. 4. extrapyramidal side effects.
Nurse Q has spent a good part of her shift listening to patient Z's mother demand more nursing care for her son
She has repeatedly demanded additional pain medication and that he be repositioned every hour even though he is snoring loudly each time Nurse Q enters his room. Four hours into her shift, Nurse Q decides to change her activity plan and requests another nurse and NAP to take on additional duties so that she can spend more time attending to patient Z, thus causing his mother to stop hovering around the nurses' station. Into which of the following priority traps did Nurse Q fall? a. doing what hits first b. taking the path of least resistance c. relying on misguided inspiration d. responding to the squeaky wheel
The nurse is interested in specializing in forensics. What should the nurse expect to learn prior to assuming the role of a forensics nurse?
1. Knowledge about the legal system 2. Approaches to collecting evidence 3. Budgeting, staffing, and planning programs 4. Information necessary when providing testimony in court 5. Training in identification, evaluation, and documentation of injuries
Adult patients are adult learners. Knowing this, the nurse understands the assumptions about adult learners that will help the nurse plan and provide the appropriate education
Which statement provides proof that more instruction about adult learners is needed? a. "Adults will learn as the need develops and the learning will fulfill that need." b. "Adults use their lives as the point of reference for all learning." c. "Adults are visual learners and learn best by taking notes." d. "Adults prefer to have a say in their learning."