Which of the following is a sign or symptom of inflammation?
1. Redness
2. Cyanosis
3. Dizziness
4. Cold skin
Correct Answer: 1
Rationale 1: Redness occurs from antigen reaction.
Rationale 2: Cyanosis is not a sign of inflammation.
Rationale 3: Dizziness is not a symptom of inflammation.
Rationale 4: Warm skin, not cold skin, is a sign of inflammation.
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An older client is experiencing increased itching and asks why this is occurring. What should the nurse explain to the client?
1. Cells shrink by losing fluid with aging. 2. Increased thirst causes the problem. 3. Reduced efficiency of the kidneys causes uremia. 4. Decreased respiratory compliance causes pruritus.
If an older person wishes to have a DNR status on himself, which of the following is true?
a. he needs to have the physician sign a form that states this b. he will receive less quality care than those who are not DNR status c. he should place a copy on his refrigerator at home d. a and c only
A physician has ordered 250 ml of 0.9% sodium chloride to be infused over 2 hours. A microdrip infusion set is being used. What is the drip rate that the nurse should monitor?
1) 60 drops per minute 2) 75 drops per minute 3) 125 drops per minute 4) 250 drops per minute
The nurse is assessing for skin changes in an African-American client admitted with peripheral arterial disease. What does the nurse monitor for?
a. Excess hair growth b. Pitting edema in the feet c. Cyanosis of the nail beds d. Loss of toenails