A nurse is assessing a client with a stage IV pressure ulcer. What assessment of the ulcer would be expected?
A) Full-thickness skin loss
B) Skin pallor
C) Blister formation
D) Eschar formation
Ans: A
A stage IV pressure ulcer is characterized by the extensive destruction associated with full-thickness skin loss.
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The patient has a pressure ulcer that was classified as a stage III ulcer. With care, the ulcer has partially healed and now appears as an area of nonblanchable erythema with mild edema. What is the most appropriate nursing description?
A) Stage I ulcer B) Stage III ulcer, healing C) Stage III to I ulcer D) Stage III ulcer, exacerbated
In the hospital setting, one of the best ways to lower a hyperthermic patient's fever would be to facilitate conduction of heat from the body by
A) providing frequent sponge baths with cool water. B) taking all covers/clothing off and pouring alcohol on the skin. C) placing him or her on a cooling mattress that circulates a coolant solution through the mattress. D) placing IV solutions into the freezer for 30 minutes prior to hanging them.
A nurse suspects that a client who is receiving acetazolamide is developing hyponatremia based on assessment of which of the following? Select all that apply
A) Bradycardia B) Anorexia C) Hypotension D) Hypoglycemia E) Decreased skin turgor
How do parasympathetic nerves differ from sympathetic nerves?
A. Parasympathetic nerves cannot be individually stimulated, whereas sympathetic nerves can. B. Parasympathetic nerves innervate blood vessels, whereas sympathetic nerves do not. C. Parasympathetic nerves are less active than sympathetic nerves during periods of rest. D. Parasympathetic nerves do not release the neurotransmitter norepinephrine, whereas sympathetic nerves do.