A patient has a pressure ulcer that is covered with black and brown eschar. The nurse would document the stage of this wound as being:
a. Stage 1 c. Stage 4
b. Stage 2 d. Unstageable
D
Stage 1 has intact skin with nonblanchable areas of redness. Stage 2 wounds are partial thickness loss of dermis with a shallow open ulcer and red or pink wound bed. Stage 4 ulcers are full thickness tissue loss with exposed bone, tendon, or muscle. Unstageable wounds are covered with slough or eschar in the wound bed. The eschar has to be removed before the wound can be correctly staged.
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The nurse, caring for a 1-year-old client recovering from a tonsillectomy, assesses the child for pain. If pain level is not addressed, what additional health problem could occur?
A) Urinary retention B) Bowel obstruction C) Respiratory compromise D) Bradycardia
____________________________ are large, computerized database management systems that support several types of activities that may include provider order entry, result retrieval, documentation, and decision support across distributed locations
Standard Text: Fill in the blank(s) with correct word
The nurse is confident that a family is functioning appropriately. What findings did the nurse use to make this determination?
1. The teenage son keeps the money he earns from cutting grass for his "car fund." 2. All the children are expected to excel in the sport of their choice. 3. A parent reads the preschool child a bedtime story each night. 4. All the children have household chores once they reach school age. 5. A young adult child moves back home after losing his job.
The nurse is teaching a patient about injection site selection and rotation, and how to self-inject insulin. Which statement made by the patient indicates that clarification is needed?
a. "The abdominal site is best because it is closest to the pancreas." b. "I can reach my thigh the best, so I will use different areas of the same thigh." c. "By rotating the sites within one area, my chance of having tissue damage is less." d. "If I change injection sites from the thigh to the arm, the rate the insulin is absorbed may be different."