During an assessment of a patient's arm burn, the nurse notes an area of stasis. What changes should the nurse expect to assess in this area over the next week?
Select all that apply.
1.The area becomes pale.
2. The area develops necrosis.
3. The area blanches on pressure.
4. The area appears like other skin surfaces.
5. The area appears leathery and coagulated.
Correct Answer: 1, 2, 4
The medial zone of stasis is initially moist, red, and blistered and blanches on pressure. It may recover or become pale and necrotic on days 3 to 7 postburn due to decreased perfusion or infection. The outer zone of hyperemia is unburned tissue and blanches on pressure. The inner zone of coagulation immediately appears leathery and coagulated.
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When developing plans for older adults in the community, the community health nurse would focus activities on which of the following?
A) Survival B) Deficits C) Thriving D) Optimism
Which of the following methods should be used to stop steroid therapy? (Select all that apply.)
1. Therapy is stopped immediately. 2. The medication is tapered gradually. 3. After shorter courses, the dosage may be reduced by 50% each day. 4. The dosage may be reduced at consistent intervals.
The nurse suspects another nurse of substance abuse and dependence and recognizes that:
a. other staff members may be acting as enablers. b. he cannot report his friend because his friend could get fired. c. dealing with this is the responsibility of the nurse manager and supervisor. d. the nurse should document his suspicions.
Mr. White is 62 years old and has chronic kidney disease that has been relatively stable. He also has a history of hyperlipidemia, osteoarthritis, and hypertension
He is compliant with his medications, and his BP has been well controlled on a calcium channel blocker. His last lipid panel showed: TC = 201, HDL = 40, TG = 180, LDL = 98. He currently takes Crestor 20 mg daily. In the office today, his BP is 188/90, and his urine dip now shows significant proteinuria. He denies any changes in his dietary habits or medication regimen. What would be the best medication change for Mr. White at this point? A. No change—have him return in 4 weeks for a re-check of his blood pressure and urine B. Increase the dose of the calcium channel blocker for his hypertension C. Change the calcium channel blocker to an ACE-I D. Increase the dose of his Crestor and have him return in 3 months for a re-check of his BP