The nurse is caring for a patient who is admitted to your unit with a diagnosis of venous ulceration unresponsive to treatment. What is the nurse most likely to find during an assessment of this patient?

A) Gangrene
B) Heavy exudate
C) Deep wound bed
D) Pale wound bed


Ans: B
Feedback: Ulcerations are in the area of the medial or lateral malleolus (gaiter area) and are typically large, superficial, and highly exudative. Venous hypertension causes extravasation of blood, which discolors the area.

Nursing

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It is cold season and you have been asked to provide an educational event for the PTO of the local elementary school. You are talking about URIs and their treatments. What would you include in teaching about the treatment of pharyngitis?

A) Use of cool saline gargles or throat irrigations B) No real treatment for pharyngitis C) Use of warm saline gargles or throat irrigations D) Heat may increase the spasms in pharyngeal muscles

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Nasal flaring and sternal retractions

What will be an ideal response?

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All of the following are one of the Roach's (1992) C's EXCEPT

A. Compassion. B. Conscience. C. Concern. D. Confidence.

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A nurse is reading a journal article about sexual abuse. Which age range would the nurse expect to find as the peak age for such abuse?

A) 7–10 years B) 8–12 years C) 14–18 years D) 18–22 years

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