The nurse is collecting data for a patient with a stoma. What finding would the nurse document as reflecting a healthy stoma?

a. Black and dry
b. Bluish and wet
c. Gray and dry
d. Pink and moist


ANS: D
The stoma should be pink to red, moist, and well attached to the surrounding skin. A bluish stoma indicates inadequate blood supply; a black stoma indicates necrosis.

Nursing

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The nurse is monitoring a client receiving intravenous (IV) chemotherapy. The nurse knows that the treatment would be discontinued if which sign appears?

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While performing a physical examination on a client, the nurse observes that the client has scoliosis based on which of the following?

A) Lateral deviation of the thoracic spine B) Concave curvature of the cervical spine C) Convex curvature of the thoracic spine D) Concave curvature of the lumbar spine

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A patient who is taking interferon is also prescribed ribavirin (Virazole). Which laboratory blood test result for this patient does the nurse report immediately to the prescriber?

a. Red blood cells (RBCs) 2.2 million/mm3 b. White blood cells (WBCs) 6000/mm3 c. Sodium 134 mEq/L d. International normalized ratio (INR) 1.6

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A patient with atrial fibrillation is taking verapamil (Calan). The patient has read about the drug on the Internet and wants to know why a drug that affects the rate of ventricular contraction is used to treat an abnormal atrial contraction

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