A client is admitted to the hospital with a wound that is itchy and is draining, irritating the surrounding skin. During the initial assessment,
the nurse notes that the skin around the wound is red, swollen, and broken. Which would be the most appropriate nursing diagnosis?
a. Impaired skin integrity related to moisture and irritation
b. Risk for impaired skin integrity related to pruritis
c. Risk for impaired skin integrity related to redness
d. Impaired skin integrity related to immobility
ANS: A
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What is the name of the process where pressure is exerted against the cell membrane by water inside the cell?
a. cell pressure c. osmotic pressure b. isotonic pressure d. hydrostatic pressure
Home care was revolutionized by changing from a nursing model to a medical model of practice, defining and limiting services it would reimburse, and changing the payment source and reason home care was provided. These changes came about because of:
a. life insurance. b. Medicare. c. Medicaid. d. Social Security.
The nurse has just administered parasympathomimetic ophthalmic drops to a patient to reduce intraocular pressure in the treatment of glaucoma. Which clinical finding would the nurse expect as a response to the administration of the eye drops?
a. Mydriasis b. Miosis c. Decreased drainage of aqueous humor d. Pupillary dilation
A patient is taking nystatin (Mycostatin) oral
lozenges to treat an oral candidiasis infection resulting from inhaled corticosteroid therapy for asthma. Which instruction by the nurse is appropriate? a. "Chew the lozenges until they are completely dissolved." b. "Let the lozenge dissolve slowly and completely in your mouth without chewing it." c. "Rinse your mouth with water before taking the inhaler." d. "Rinse your mouth with mouthwash after taking the inhaler."