A nurse's assessment of a newly admitted patient is remarkable for an area of erythema on the patient's upper thigh. The nurse is aware that erythema is the physiological result of:
A) Decreased oxygen saturation
B) Dilation and congestion of capillaries
C) The initiation of the clotting cascade
D) The presence of blood in the interstitial space
B
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During a morning assessment, the nurse notices that an older patient is less attentive and is unable to recall yesterday's events. Which test is appropriate for assessing the patient's mental status?
a. Geriatric Depression Scale, short form b. Rapid Disability Rating Scale-2 c. Mini-Cog d. Get Up and Go Test
Which of the following is a nursing intervention for promoting self-care in the dying client?
A) Apply glycerin to the lips. B) Promote active range-of-motion exercises every hour. C) Avoid oral hygiene to minimize risk of aspiration. D) Assist with personal hygiene.
____________________ includes how we perceive ourselves, how we relate to others, and how we express ourselves as sexual beings
Fill in the blank with correct word.
A patient has been diagnosed with hypovolemia. Which order(s) for hydration should the nurse question? Choose all orders that should be questioned
1) 0.9% (normal) saline at 100 ml/hr 2) Lactated Ringer's solution at 100 ml/hr 3) Total parenteral nutrition solution at 100 ml/hr 4) D5W solution at 100 ml/hr