An intact blister is an example of a
A. Stage I pressure ulcer.
B. Stage II pressure ulcer.
C. Stage III pressure ulcer.
D. Stage IV pressure ulcer.
Answer: A
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A nurse cares for a client who has an 80% blockage of the right coronary artery (RCA) and is scheduled for bypass surgery. Which intervention should the nurse be prepared to implement while this client waits for surgery?
a. Administration of IV furosemide (Lasix) b. Initiation of an external pacemaker c. Assistance with endotracheal intubation d. Placement of central venous access
A nurse teaches a client with heart failure about energy conservation. Which statement should the nurse include in this client's teaching?
a. "Walk until you become short of breath, and then walk back home." b. "Gather everything you need for a chore before you begin." c. "Pull rather than push or carry items heavier than 5 pounds." d. "Take a walk after dinner every day to build up your strength."
A 44-year-old male patient has been exposed to radiation. Which of the following is the most accurate statement regarding decontamination?
A) Alcohol and iodine scrubs are necessary. B) Soap and water scrubs are necessary. C) The patient should be assessed in the emergency room before decontamination. D) The patient's clothing is double bagged and stored inside the facility.
A patient diagnosed with prostate cancer is demonstrating signs of renal failure. What should this assessment finding suggest to the nurse?
1. obstructive uropathy 2. spinal cord compression 3. urethral strictures from radiation 4. bladder irritation from chemotherapy