The nurse knows that which areas are at increased risk of excoriation? (Select all that apply.)
a. Exposed areas such as the face
b. Areas exposed to stool
c. Skin on skin areas
d. Area under pendulous breasts
ANS: B, C, D
Excoriation (red, scaly areas with surface loss of skin tissue) occurs in patients whose skin is exposed to bodily fluids such as stool, urine, or gastric juices. Excoriation also occurs in areas where skin rests on skin, such as in the axilla (armpit); under large, pendulous breasts; or in abdominal folds. Exposed areas are more likely to become sun burned or wind burned.
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The nurse is assessing a preschool-age patient's diet. The best way to perform this assessment is to ask for a ____________________ hour dietary recall
Fill in the blank with correct word
Mrs. Greene, who is 68 years old, is at your clinic for her annual physical. She is quiet and does not use her usual quick sense of humor. She tells you, "I feel like an old rag. I can't hear or see as well as I could before
What's wrong with me?" You are able to tell her: A) "Mrs. Greene, some vision and hearing loss is normal in the aging process. The doctor can run some tests and discuss options with you." B) "Mrs. Greene, don't worry. I'm sure it's nothing!" C) "Well, at least you don't need to worry about driving anymore." D) "Why are you feeling so concerned, Mrs. Greene?"
The nurse is teaching a group of teens with asthma how the structures of the upper respiratory tract protect against infections. Which statement by a teen demonstrates that teaching has been successful?
Standard Text: Select all that apply. 1. "The passages of the nose and throat filter, warm, and humidify air when I inhale." 2. "The structures of the upper respiratory tract trap particulate matter and pathogens, preventing them from going down into my lungs." 3. "The upper respiratory tract is lined with tiny hairs that move back and forth, pushing foreign matter away from the lungs." 4. "Mucous membranes inside the nose produce allergens that neutralize pathogens." 5. "The saliva in my mouth contains cells that can eat bacteria."
What interventions would you recommend to assist B.T. in addressing this behavior?
What will be an ideal response?