Which should the nurse include in the client education about the structure and function of the skin?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. The outermost layer of the epidermis serves as the major waterproof barrier to the environment.
B. The epidermis provides a foundation for the accessory structures such as hair and nails.
C. The amount of subcutaneous tissue varies and is determined by nutritional status and heredity.
D. Most receptor nerve endings, oil glands, sweat glands, and blood vessels are found within the subcutaneous fat.
E. The deepest epidermal layer provides new cells.
Answer: E
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The pregnant client and her partner are both 40 years old. The nurse is explaining the options of chorionic villus sampling (CVS) and amniocentesis for genetic testing. The nurse should intervene if the client states:
1. "Amniocentesis results are available sooner than CVS results are." 2. "CVS carries a higher risk of limb abnormalities." 3. "Amniocentesis cannot detect a neural tube defect." 4. "CVS is performed through my belly or my cervix."
The nurse is caring for a client who has low back pain (LBP) from a work-related injury. Which measures does the nurse incorporate into the client's plan of care?
a. Apply moist heat continuously to the af-fected area. b. Use ice packs or ice massage for 1 to 2 hours over the affected area. c. Apply heat packs for 20 to 30 minutes at least four times daily. d. Advise the client to avoid hot baths or showers.
Melena, the passage of black, tarry stools, suggests bleeding from which source?
a. The perianal or rectal area b. The upper gastrointestinal (GI) tract c. The lower GI tract d. Hemorrhoids or anal fissures
The nurse is preparing to complete a physical assessment before surgery. Which of the following should the nurse obtain? Select all that apply
1. Mini mental status 2. Assessment of hearing 3. Assessment of the respiratory system 4. Gastrointestinal assessment 5. Maintain NPO status.