The nurse is examining the skin of a critically ill patient. What technique should the nurse?
A) Inspect the appearance of the skin every 12 hours.
B) Inspect only the anterior body skin every 12 hours.
C) Auscultate for bruits over skin lesions when found.
D) Percuss the borders of skin lesions when found.
A
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A nurse contacts the health care provider after reviewing a client's laboratory results and noting a blood urea nitrogen (BUN) of 35 mg/dL and a creatinine of 1.0 mg/dL. For which action should the nurse recommend a prescription?
a. Intravenous fluids b. Hemodialysis c. Fluid restriction d. Urine culture and sensitivity
A patient who gave up smoking recently began again. What might be an appropriate nursing intervention according to Prochaska's model?
1. Ask what the patient gets from smoking. 2. Teach the patient stress reduction strategies. 3. Discuss how smoking affects the lungs. 4. Bolster the patient's self-efficacy for managing barriers to change.
When completing a Preparation for Practice exercise, the learner would utilize which of the following forms for applying the nursing process to a specific patient situation?
1. Concept map 2. Kardex 3. Summary of hospitalization 4. Laboratory results
The nurse is caring for a patient with a deep vein thrombosis who is receiving intravenous heparin. The nurse should monitor which of these laboratory tests specifically for the effects of the heparin?
a. Bleeding time b. PT c. PTT d. Platelets