A nurse caring for a patient who has been prescribed bed rest for 1 week notices a reddened area on the patient's left hip. The skin is intact, but when the nurse presses on the area, the redness does not fade
How should this area of pressure be classified? a. Stage I
b. Stage II
c. Stage III
d. Stage IV
A
The major characteristic of a stage I pressure ulcer is erythema (redness) that does not blanch when pressed.
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The nurse clarifies that the least likely method for children to contract AIDS is
a. during intrauterine life with an HIV-positive mother. b. during the birth process of an HIV-positive mother. c. from other children who have AIDS. d. from receiving transfusions contaminated with the HIV virus.
The nurse is taking a health history on a new patient. The patient reports experiencing pain in the left lower leg and foot when walking, but claims that the pain is relieved with rest
The nurse notes that the patient's left lower leg is slightly edematous and hairless. What should the nurse suspect that the patient may be experiencing? A) Coronary artery disease (CAD) B) Intermittent claudication C) Arterial embolus D) Raynaud's disease
A client asks the nurse why he or she will receive IV anesthesia before inhaled anesthesia. Which response should the nurse provide?
A. "The IV anesthesia will produce a rapid unconsciousness." B. "The IV anesthesia is easier to reverse if adverse effects occur." C. "The IV is used to administer large amounts of solutions required by the anesthesia." D. "The IV is used to administer a volatile liquid that will help maintain a deep sleep."
During a tornado warning with sirens, the nursing staff are caring for 36 patients on the second floor medical-surgical unit. How should the staff protect the patients?
a. Move all patients to the evacuation center across the street. b. Bring all patients into the hall and close doors and windows. c. Seal all patients in their bathrooms and cover windows with bed mattresses. d. Evacuate patients to the basement via the elevators.