The nurse realizes that a client, diagnosed with neurogenic shock, is at risk for developing:
1. skin breakdown.
2. sweating.
3. deep vein thrombosis.
4. infection.
3
The client is at a greater risk for deep vein thrombosis (DVT) because of the pooling of blood in the lower extremities. The client is at risk for skin breakdown, sweating, and infection; however, the risk for a DVT is a priority during the shock phase.
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The nurse is assessing the skin of a client being admitted to the long-term care facility from an acute care facility. A small blister is noted on the client's right heel. This is documented as:
1. A stage I decubitus ulcer. 2. A stage II decubitus ulcer. 3. A stage III decubitus ulcer. 4. A stage IV decubitus ulcer.
Having recently graduated from a practical nursing program and successfully passing the NCLEX-PN, a new nurse has just received her license. A nursing license is
A) valid for as long as the nurse wishes to practice, provided it is not revoked. B) transferable to another nurse if the recipient has written the NCLEX-PN C) a legal authorization for the nurse to practice authorized skills. D) the personal property of the nurse who possesses it.
A patient reports losing weight even though she eats "everything in sight." She also reports tremors and diarrhea. The nurse would suspect
a. hypothyroidism. c. hyperthyroidism. b. diabetes mellitus. d. pancreatic tumor.
Ordered: 4 mg Norepinephrine in 250 mL D5W to infuse at 18 mcg/min. The infusion pump should be set
at ______________. Fill in the blank(s) with correct word