A pressure ulcer that is covered with eschar
A. is a Stage IV
B. has tunnels under the surface.
C. is usually very shallow.
D. cannot be staged.
Answer: D
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A 29-year-old female patient has sinusitis, so the physician orders a topical nasal decongestant. What instructions should be given?
A) Avoid becoming pregnant during decongestant therapy. B) Increase fluids to 2 L/d. C) Restrict fluids to 500 mL/d. D) Take the medication with meals.
A client is admitted with a diagnosis of fever of unknown origin. The health care provider's orders include requests for blood and urine cultures, initiation of intravenous (IV) fluids, and IV antibiotics. Which actions must the nurse take FIRST?
a. Start antibiotics to ensure fastest treatment of underlying pathogen. b. Obtain cultures before initiating antibiotic therapy. c. The order of procedures does not matter. d. Establish an intravenous line.
The nurses on the 7 a.m. to 3 p.m. shift have been complaining to the head nurse that the nurses on the 11 p.m. to 7 a.m
shift have not been doing the ordered client daily weights, and the phy-sicians are very upset when they make their early morning rounds. Identify the initial action the head nurse should take to resolve this conflict. a. Post a stern memo that reminds the night shift nurses to do the daily weights. b. Review the daily weight flow sheet. c. Change the time for daily weights to the late morning. d. Hold a meeting with the physicians to discuss their attitudes.
The nurse instructing the mother on how to care for the umbilical cord of the newborn would direct the mother to:
a. wash the cord only with warm water and gently dry it b. apply 70% isopropyl alcohol or hydrogen peroxide to the base next to the skin and to the cord with each diaper change c. use a solution of baby shampoo and water on the cord, rinse, and dry carefully d. wash the cord with a solution of Ivory soap and water, dry, air for 30 minutes, and apply triple antibiotic ointment after baths and diaper changes