The nurse is documenting findings after completing data collection with a patient. What term should the nurse use to document a large area of discoloration from hemorrhage under the skin?
a. Pallor
b. Rubor
c. Petechiae
d. Ecchymosis
ANS: D
Ecchymoses are large areas of discoloration from hemorrhage under the skin. A. Pallor is paleness. B. Rubor is generalized redness. C. Petechiae are small purplish hemorrhagic spots under the skin.
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A patient who is receiving care for osteosarcoma has been experiencing severe pain since being diagnosed. As a result, the patient has been receiving analgesics on both a scheduled and PRN basis
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What other congenital defects are common in children with Down syndrome?
a. Hypospadias b. Pyloric stenosis c. Heart defects d. Hip dysplasia
Safe stretcher use involves which of the following?
a. Unlocking the wheels b. Fastening safety straps c. Lowering side rails d. Leaving the person alone to provide for privacy
The nurse would anticipate the need for an enteral access device in which of the following patients?
a. Patient whose bowel sounds have not yet returned after abdominal surgery b. Patient who recently suffered a cerebrovascular accident (CVA) c. Patient who dislikes the taste of facility meals d. Patient who suffers from severe acute dysphagia