The first sign of pressure ulcer formation is
A) the skin appears pale.
B) blister formation.
C) red or blue-gray discoloration.
D) a tear in the skin.
C
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The nurse instructs a patient with herniated thoracic and lumbar disks about spinal fusion surgery. Which patient statements indicate that teaching has been effective?
Select all that apply. 1. "Bone chips might be taken from my iliac crest bone." 2. "Holes will be drilled into my skull so that a brace can be placed." 3. "Bone chips will be wedged between the vertebrae to stabilize them." 4. "I will need to stay on bed rest because traction will be applied to my spine." 5. "A hollow titanium tube might be placed in my spine to replace a removed disk."
A client has a wound of the left lateral aspect of the thigh. Which of the following should the nurse do to promote wound healing for this client?
1. Position with weight directly on the wound 2. Position to keep weight off of the wound 3. Enforce strict bed rest 4. Restrict fluids
A nurse is reviewing pediatric physical assessment techniques. Which statement about performing a pediatric physical assessment is correct?
a. Physical examinations proceed systematically from head to toe unless developmental considerations dictate otherwise. b. The physical examination should be done with parents in the examining room for children of any age. c. Measurement of head circumference is done until the child is 5 years old. d. The physical examination is done only when the child is cooperative.
What is the best time of day to collect a sputum specimen for culture?
a. Early in the morning. b. After breakfast. c. After chest physiotherapy. d. After a nebuliser.