When assessing for cyanotic changes, central cyanosis may be distinguished from peripheral cyanosis. Which location does the nurse use to assess for central cyanosis?
1) On the ear lobes
2) In the nailbeds
3) In the mucous membranes
4) On the fingers
ANS: 3
You might also like to view...
Pender proposed a health promotion model that included individual characteristics, behavior-specific cognitions and affect, and behavioral outcomes. Which would be a behavior-specific cognition and affect variable?
A. Commitment to a plan of action B. Competing demands (family or work) C. Perceived self-efficacy D. Personal realities such as demographics
Body temperature is highest
A) in the morning. B) from 12:00 PM to 3:00 PM. C) in the evening. D) during the night.
A nurse who is caring for a patient who smokes two packs a day knows that the patient is in the contemplation stage regarding smoking cessation
According to change theory, which of the following is the best statement for the nurse to tell the patient? A. "You need to stop smoking as soon as possible." B. "Smoking is a very expensive habit." C. "The negative effects of smoking can be reversed." D. "Tobacco use killed 435,000 people in 2000."
Which nursing observation would indicate that the patient was at risk for pressure ulcer formation?
a. The patient ate two thirds of breakfast. b. The patient has fecal incontinence. c. The patient has a raised red rash on the right shin. d. The patient's capillary refill is less than 2 seconds.