A client has a fissure on her finger due to chafing. The client asks "How long will it be painful?" The nurse explains that the inflammation phase will last:
A) 3 days.
B) 5 days.
C) 7 days.
D) 2 weeks.
Ans: A
Feedback:
The inflammation phase of a partial thickness wound lasts approximately 3 days.
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When a nurse is unsure if the client has understood a teaching or message, which of these actions should be taken?
a. Ask the client if the message is understood. b. Ask the client to repeat or demonstrate the process. c. Document the teaching session. d. Reteach the concept.
An elderly female patient who is bedridden is admitted to the unit because of a large pressure ulcer. During your assessment of the patient, you find that the ulcer extends into the muscle and bone. What stage would document this ulcer?
A) I B) II C) III D) IV
Funding for federal programs to assist the homeless depends on statistics. Challenges to that include: (SELECT ALL ANSWERS THAT APPLY)
A) Homeless people have no address and are difficult to track. B) Homeless people may be "working poor" and not eager to admit their situation. C) Estimates are that homeless people change their base of locations approximately every 2 months. D) Homeless people are not cognitively able to participate in a survey. E) Homeless people routinely lie to people they don't know. F) Homeless shelters discourage keeping statistics on their clients.
The nurse assesses the fluid volume status of a 72-year-old client who takes Lasix (furosemide) and Pacerone (amiodarone). Which of the following is the most reliable method for assessing this client's skin turgor?
A) Ask the client to open the mouth and examine the oral mucous membranes for dryness. B) Examine the skin on the lower legs and look for dry, scaly, or rough skin. C) Gently pinch the skin on the abdomen to see how long it takes to return to normal. D) Squeeze the skin on back of hand to see if it remains pinched or is slow to return to normal.