A nurse is attempting to assess the skin color of a child with dark skin. The nurse knows the best place to assess the child's skin color is:
1. The nailbeds.
2. Inside the mouth in the cheek area.
3. The eyes.
4. On the chest.
2
Feedback
1. The nailbeds should be used to assess capillary refill.
2. A pen light can be used to examine the inside of a child's mouth in the cheek area for color.
3. The eyes can indicate jaundice, but not any other type of color changes.
4. Capillary refill can be assessed on the chest since the oral mucous membranes are more accurate.
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A nurse is assessing an older client for the presence of infection. The client's temperature is 97.6 ° F (36.4 ° C). What response by the nurse is best?
a. Assess the client for more specific signs. b. Conclude that an infection is not present. c. Document findings and continue to monitor. d. Request that the provider order blood cultures.
A nurse who works on a palliative care unit has developed a strong partnership with the 77-year-old wife of a client who has recently died of lung cancer. The woman has expressed her fears around being a widow to the nurse
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During a particularly heated staff meeting regarding staff assignments, the nurse manager makes this comment: "When you all can come to a decision, let me know and we'll move on from there."
This leader is best identified as which of the following? 1. Democratic leader 2. Permissive leader 3. Bureaucratic leader 4. Situational leader
When the nurse attempts to wake a patient who has just closed his eyes and appears asleep, the patient states he is not asleep. The stage of sleep the patient is in is
A) Stage 1 B) Stage 2 C) Stage 3 D) Stage 4