Tissues under and around A.N.'s burns are severely swollen. She looks at you with tears in
her eyes and asks, "Will they stay this way?" What is your answer?
What will be an ideal response?
No. After a burn, capillary damage occurs, causing capillary leakage. There is a rapid fluid shift from
the vasculature to the interstitial spaces, resulting in massive swelling. This usually lasts 2 or 3 days.
Once the capillaries have repaired themselves, the fluid is reabsorbed and then excreted.
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The patient uses terminology in describing cultural beliefs the nurse has never heard before, so the nurse goes to the Internet to better understand what the patient is talking about. What component of cultural competence is this nurse displaying?
1. Cultural awareness 2. Cultural desire 3. Cultural knowledge 4. Cultural skill
An hour after birth, the nurse assesses a newborn's temperature and notes that it is 36.2° C (97.2° F). The next activity planned for the newborn is the bath, and the new mother and father are invited to participate in the procedure
What is the nurse's next action? a. Take the infant's temperature rectally. b. Ask the father to test the water to determine if it is too hot. c. Delay the bath until the newborn's temperature is above 36.7° C (98° F). d. Explain to the new parents that no soap should be used to cleanse the eyes.
When considering the various types of contraceptive drugs, the nurse is aware that which type most closely duplicates the normal hormonal levels of the female menstrual cycle?
a. Monophasic b. Biphasic c. Triphasic d. Short acting
A client arrives in the labor and delivery unit and describes her contractions as occurring every 10-12 minutes, lasting 30 seconds. She is smiling and very excited about the possibility of being in labor
On exam, her cervix is dilated 2 cm, 100% effaced, and -2 station. What best describes this labor? 1. Second phase 2. Latent phase 3. Active phase 4. Transition phase