The nurse is documenting that the patient has bruising on the lateral aspect of the right arm after a fall. Of the following terms, which term will the nurse use to describe bruising on the skin in her documentation?

A) Telangiectasias
B) Ecchymoses
C) Purpuras
D) Urticarias


Ans: B
Feedback: The nurse will describe the bruising as ecchymoses. Telangiectasias are red marks on the skin caused by stretching of superficial blood vessels, and purpuras are pinpoint hemorrhages into the skin. Urticarias are wheals or hives.

Nursing

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A nurse is preparing a client with severe gastrointestinal reflux disease (GERD) for a test to determine the extent of damage caused by the disorder. Which of the following tests would be ordered for this client?

A) Cholecystogram B) Lower GI series C) Colonoscopy D) Esophagogastroduodenoscopy (EGD)

Nursing

The nurse determines that the patient's wound may be infected. In order to perform a quantitative swab for wound culture, which of the following actions should the nurse take?

a. Collect the superficial drainage. b. Collect the culture before cleansing the wound. c. Obtain a culturette tube and use sterile technique. d. Use the same technique as for collecting an anaerobic culture.

Nursing

When the skin of the anterior chest stays pinched for a few seconds during a client's admission assessment, how should this finding be documented?

a. "dehydrated" c. "loose skin-turgor" b. "fair hydration" d. "normal hydration"

Nursing