The nurse performs an assessment on a newly admitted elderly patient. The patient receives a score of 12 on the Braden scale. What is the risk for impaired skin integrity for this patient?
A) No risk
B) Low risk
C) Moderate risk
D) High risk
Ans: D
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A patient is demonstrating increased pulse pressure, decreased pulse, and irregular respiration
The nurse recognizes these symptoms of increased intracranial pressure and understands that the patient's autoregulation of cerebral blood flow in the brain has failed. Which of the following findings would be consistent with a failure of autoregulation of blood flow in the brain? Select all that apply. A) Cerebral perfusion pressure of 40 mm Hg B) Mean arterial pressure of 170 mm Hg C) Systolic pressure of 120 mm Hg D) Intracranial pressure of 35 mm Hg
A client has a reddened area on the left forearm. Which assessment technique should the nurse use to assess this area?
1. Percussion. 2. Light palpation. 3. Moderate palpation. 4. Deep palpation.
A patient with a history of poor nutrition and chronic illness is admitted to the medical unit. The nurse caring for this patient is preparing to provide the patient with a bed bath and recalls that normal body flora:
a. are only found on the skin surface. b. are beneficially aided by the use of anti-biotics. c. are primary sources of infection when ba-lanced. d. help to maintain health.
The pancreas is both an endocrine and exocrine gland
Indicate whether the statement is true or false