Which symptom would be a characteristic of a stage I pressure ulcer on an older adult's coccyx?
a. Clear blister
b. Nonblanchable area of erythema
c. Scaly abraded area
d. Painful reddened area
ANS: B
A red nonblanchable area is indicative of a stage I pressure ulcer.
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When planning care for a patient who is receiving filgrastim (Neupogen) for a nonmyeloid malignancy, the nurse should formulate which of the following patient outcomes? (Select all that apply.)
A) The patient will not develop an infection. B) The patient will not experience bone pain. C) The patient will be able to self-administer filgrastim at home. D) The patient will not develop febrile neutropenia. E) The patient will not retain fluid.
A 42-year-old male client continues to enter into business deals that cause him to lose large amounts of money. He subsequently seeks mental health care for stress-related disorders
Which characteristic of a successful adult is this client lacking? a. Acceptance of self b. Finding a balance between giving and taking c. Making sound decisions d. Learning from past decisions
The nurse is caring for an older client who has returned from the operating room. Which intervention would be a priority for this client?
1. Postoperative teaching 2. Monitoring the client for reduced temperature 3. Preventing visitation 4. Determining the client's likes for dinner
The 46-year-old patient is semiconscious and is in need of emergency surgery to relieve a subdural hematoma. The nurse knows that:
A) Emergency situations do not require prior consent B) He or she must obtain written consent for invasive procedures C) This is not a function of the LPN/LVN; the nurse should call his or her supervisor D) The patient must be alert in order to obtain informed consent