Petechiae are noted on the patient as a result of the nurse finding:
a. bluish-black patches.
b. tenting.
c. pinpoint-sized red dots.
d. large areas of raised, irritated skin.
C
Petechiae appear as tiny, pinpoint-sized, red or purple spots on the skin caused by small hemorrhages in the skin layers and may indicate a blood-clotting disorder, a drug reaction, or liver disease. Bluish-black patches are more indicative of malignant melanoma. With reduced turgor, the skin remains suspended or "tented" for a few seconds before slowly returning to place. This indicates decreased elasticity and possible dehydration. Large areas of raised, irritated skin are not characteristic of petechiae.
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a. A patient with meningitis complaining of photophobia b. A mechanically ventilated patient with a GCS of 6 c. A patient with bacterial meningitis on droplet precautions d. A patient with an intracranial pressure ICP of 20 mm Hg and an oral temperature of 104° F
You are admitting a patient to your unit who is scheduled to have an ossiculoplasty. What is this procedure expected to do?
A) Repair the ear drum B) Reconstruct the middle ear bones to restore hearing C) Restore balance D) Stop the patient's vertigo
The family of a child with a cognitive alteration is expressing difficulty with managing the care needs of the child. The nursing diagnosis appropriate for this situation is:
1. Hopelessness related to the terminal condition of the child. 2. Compromised family coping related to the child's developmental variations. 3. Family processes dysfunctional related to the child with mental retardation. 4. Parenting, impaired related to poor parenting skills.
How can a nurse researcher tell the difference between an accessible population and a target population?
a. The accessible population meets the inclusion criteria, and the target population meets the exclusion criteria. b. The target population meets the inclusion criteria, and the accessible population meets the exclusion criteria. c. The accessible population represents the entire set of cases the researcher wishes to study, and the target population represents that part of the accessible population that could feasibly be included in the study. d. The target population represents the entire set of cases the researcher wishes to study, and the accessible population represents that part of the target population that could feasibly be included in the study.