The nurse is caring for a 10-year-old in traction. While performing a skin assessment, the nurse notices that the skin over the calcaneus appears slightly red and irritated. Which action would the nurse do first?
A) Reposition the child's foot on a pressure-reducing device
B) Apply lotion to his foot to maintain skin integrity
C) Make sure the skin is clean and dry
D) Gently massage his foot to promote circulation
A
Feedback:
The nurse's first action is to remove continuous pressure from this area. The other actions can help decrease the potential for skin breakdown, but the pressure must be relieved first.
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The nurse is performing an eye assessment on an 80-year-old patient. Which of these findings is considered abnormal?
a. Decrease in tear production b. Unequal pupillary constriction in response to light c. Presence of arcus senilis observed around the cornea d. Loss of the outer hair on the eyebrows attributable to a decrease in hair follicles
A patient admitted in a state of extreme anxiety has vital signs of: T 98.6° F, P 81, BP 130/86, R 32 . The nurse is aware if this hyperventilation continues, the result will be:
a. metabolic acidosis. b. metabolic alkalosis. c. respiratory acidosis. d. respiratory alkalosis.
Which of the following statements are true about virtual worlds? Standard Text: Select all that apply
1. The simulated environment may reflect contemporary life, a setting found in works of fiction, or a setting unique to a world-developer's imagination. 2. Other terms for virtual world include: digital worlds, simulated worlds, multi-user virtual environments (MUVE), and massively multiplayer online games (MMOGs). 3. Gaming cannot be part of a virtual world. 4. Commercial virtual worlds focus on community building and socializing. 5. A virtual world is not an appropriate learning tool.
The nurse gives an example of a person who is attempting to maintain homeostasis as the newcomer who:
1. joins a local church. 2. buys a new car. 3. stays in his or her apartment watching TV. 4. spends hours writing e-mail to old friends.