Which statement about skin tears is correct?
a. Skin tears only occur during bathing.
b. Skin tears are not usually painful.
c. Infection can develop in a skin tear.
d. Skin tears usually occur over a bony area.
C
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A client who came to her previous outpatient therapy appointment obviously intoxicated tells the
nurse "I could not help what happened last week. I am an alcoholic and cannot control my drinking.". The client is using a. denial. b. projection. c. rationalization. d. selective attention.
The nurse is caring for a patient diagnosed with pneumonia. The patient has a BP 160/94, P 102, R 28, crackles in posterior lower lobes bilaterally, oxygen saturation 89%, and complains of shortness of breath upon exertion
The highest priority nursing diagnosis for this patient is: a. Activity intolerance b. Impaired gas exchange c. Ineffective cardiopulmonary tissue perfu-sion d. Self-care deficit: Bathing and hygiene
Which statement(s) by the nursing student best describes the attributes of a mentor? (Select all that apply.)
a. "A mentor actively advises, supports and promotes the mentee's career.". b. "A mentor is a professional who has any amount of experience as a nurse.". c. "Mentors have the mentee's best interest at heart.". d. "Mentors bolster self-confidence.". e. "Mentors provide support for only a short period of time.".
A nurse forgets to put the call light within the client's reach and then leaves the room. The client reaches for it and falls out of bed. The nurse could be charged with which of the following?
1. Assault 2. Battery 3. Negligence 4. Criminal intent