You are caring for a patient who has had a neck resection with a radial forearm free flap. When you assess the graft you note the color to be blue with mottling. What might this indicate?
A) A viable graft
B) Venous congestion
C) Arterial occlusion
D) A room that is too cool
Ans: B
Feedback: A graft that is blue with mottling may indicate venous congestion. A graft that is white may indicate arterial occlusion. Therefore options A, C, and D are incorrect.
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The nurse knows that which areas are at increased risk of excoriation? (Select all that apply.)
a. Exposed areas such as the face b. Areas exposed to stool c. Skin on skin areas d. Area under pendulous breasts
The community-health nurse is planning an education session for recently hired teachers at a child-care center. Which item is priority for the community-health nurse to include in the educational session?
1. The schedule for immunizations 2. Principles of infection control 3. How to interpret healthcare records 4. How to take a temperature
A nurse is reviewing the literature about impaired nursing practice. Which point would the nurse expect to find?
A) Evident that nurses using substances moderately were more critical of nurses who used substances irresponsibly. B) Nurses with permissive attitudes placed more value on the substances involved in misuse. C) There is lack of a consistent theme on substance abuse among nurses, nursing students, and health care professionals in general. D) Nurses used similar approaches when reporting an impaired peer as when reporting technical incompetence.
You ask J.F. what she is doing to exercise while she is confined to the bed. She looks surprisedand states that she isn't doing anything
What activities can J.F. engage in while on bed rest?