The patient has shiny ulcerations on a red base over the medial calf of the right leg. There is quite a bit of fluid drainage. He takes anticoagulants because of recurrent deep vein thrombosis
He also reports a sedentary lifestyle. How would the nurse classify this chronic wound?
a. Pressure ulcer
b. Venous stasis ulcer
c. Diabetic foot ulcer
d. Arterial ulcer
ANS: B
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A patient with chronic obstructive pulmonary disease is receiving supplemental oxygen at 2 L/min by nasal cannula. What should the nurse particularly watch for in this patient?
A) Somnolence, cherry color of mucous membranes, bradypnea B) Tachypnea, dyspnea, pleuritic chest pain with cough C) Increased frequency of cough and elevated temperature D) Change in quality and color of sputum and general malaise
The medical-surgical nurse manager is conducting an interview of a potential employee. The manager realizes which of the following is beneficial when conducting the interview?
1. Document first impressions of the applicant. 2. Review the resume during the interview. 3. Use closed questions to elicit more information. 4. Use work sample questions to determine knowledge.
What physical characteristics would you expect to see in a person who habitually smokes marijuana?
A. Red eyes and increased heart rate B. Dry eyes and decreased heart rate C. Pinpoint pupils and increased heart rate D. Dilated pupils and decreased heart rate
You are evaluating a patient in the Prenatal Testing Department who has just completed a biophysical profile (BPP). You suspect that there could be chronic fetal asphyxia because the score is below
A. 10 B. 6 C. 8