Two days after a patient undergoes abdominal surgery, his surgical incision is red and slightly edematous; it is oozing a small amount of serosanguineous (pink-tinged serous) fluid. On the basis of these data, what can you conclude? Choose all that apply
1) The wound is most likely infected.
2) This is a vascular response to inflammation.
3) Damaged cells are being regenerated.
4) Exudate formation is occurring.
ANS: 2, 4
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The mother of an 18-year-old girl asks the nurse which screening her daughter should receive now based on evidence-based recommendations. Which suggestion by the nurse is best?
a. Papanicolaou test b. Human papilloma virus (HPV) test c. Mammogram d. No screenings at this time
The nurse is assessing a client admitted with severe abdominal pain. Which are essential components of a pain assessment?
Select all that apply. 1. Description of the pain. 2. Temperature, pulse, respirations, and blood pressure. 3. Pain intensity rating. 4. Family medical history. 5. Previous pain experience. Correct Answer: 1, 2, 3, 5
The nurse is teaching a patient with bipolar disorder about lithium carbonate (Lithobid), which the provider has just prescribed for the patient. What information will the nurse provide the patient regarding the use of lithium?
1. Test serum levels regularly. 2. Decrease salt and fluid intake. 3. Increase the dose if fine hand tremors appear. 4. Discontinue the medication when feeling better.
A patient diagnosed with disorganized schizophrenia says, "It's beat. Time to eat. No room for the cat." What type of verbalization is evident?
a. Neologism b. Idea of reference c. Thought broadcasting d. Associative looseness