The nurse is caring for a patient with frostbite. Which assessment findings would lead the nurse to conclude that the patient has second-degree frostbite?
a. Reddened skin with hard white plaques
b. Waxy skin with sensory deficits
c. Reddened skin with milky fluid-filled blisters
d. Waxy skin with blood-filled blisters
C
Frostbite is categorized by degree of injury, much like burns. Second-degree injury is characte-rized by redness, swelling, and formation of blisters filled with clear or milky fluid that forms within 24 hours of injury. A first-degree injury includes reddened skin, swelling, waxy appear-ance, hard white plaques, and sensory deficit. Third-degree injury consists of blood-filled blisters followed by black eschar forming over several weeks. Fourth-degree injury involves full-thickness damage affecting muscles, tendons, and bone, resulting in tissue loss.
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Order: Esmolol 60 mcg/kg/min Available: Esmolol 5 g in 500 mL D5W Client's weight: 66 kg The IV flow rate is _______________
a. 60 mL/hr b. 1 mL/hr c. 6 mL/hr d. 24 mL/hr
The nurse provides drug teaching to the patient who will begin taking polycarbophil (FiberCon). What is the nurse's priority teaching point?
A) Do not eat or drink anything for 2 hours after taking the medication. B) Drink lots of water when taking the drug. C) Take at night before bedtime. D) The drug can be taken up to six times per day.
During the assessment of a client with major depression, the nurse observes that the client experiences psychomotor agitation. Which of the following manifestations of psychomotor agitation is seen in the client?
A) Increased sleep C) Lack of energy B) Distractibility D) Lack of interest in daily events
The nurse is presenting an educational event at a local senior center. You have been asked to talk about "Keeping Your Urinary System Healthy." What important information should you include in your presentation?
A) "Urinary incontinence, to some degree, is expected in people over 60 years of age." B) "Urinary incontinence is easily treated in the older adult." C) "Urinary incontinence is more prevalent in the United States than diabetes or ulcer disease." D) "Urinary incontinence is overreported and overtreated."