A nurse is caring for a client with venous stasis whose lower extremities have a brown pigmentation appearance. Which is this pigmentation appearance best attributed to?

A) The necrosis of subcutaneous fat due to tissue hypoxia
B) Breakdown of red blood cells in the congested tissues
C) The inflammatory and immune response from congested circulation
D) Skin atrophy caused by lack of circulation


Answer: B

Breakdown of red blood cells in the congested tissues causes brown skin pigmentation. While the other choices may occur with PVD, they are not responsible for the cause of brown pigmentation to the skin.

Nursing

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In responding to the needs of pediatric patients in pain, the nurse has numerous nonpharmacologic interventions available. These interventions include: Standard Text: Select all that apply

1. Regional nerve block. 2. Cutaneous stimulation. 3. Application of heat. 4. Electroanalgesia. 5. Use of EMLA cream.

Nursing

A college student is a patient is on a medical unit for treatment of Guillain-Barré syndrome, a rare disorder that produces ascending paralysis and can be fatal if respiratory function is compromised

She is very anxious and frequently calls for staff. Staff direct her to try to calm down and explain that her sensation of being short of breath is due to her anxiety causing her to hyperventilate. Her family becomes increasingly concerned as the patient moves from being anxious to panic-stricken, saying she cannot breathe. Her resident doctor is called and reinforces the need for the patient to slow and deepen her breathing to control anxiety. Away from the patient, staff talk about how histrionic and whiny she is. Soon afterwards, the patient goes into respiratory arrest. She is left in a permanent vegetative state from hypoxia. The primary cause of this tragic outcome is: a. the paralysis had impaired respiration. b. her disorder was not adequately treated. c. staff stigmatized the patient as a whiner. d. her doctor was negligent in his response.

Nursing

The nurse recognizes that the Jackson-Pratt drainage removal system is classified as a(n):

a. sterile drainage system. b. closed drainage system. c. open drainage system. d. self-measuring drainage system.

Nursing

A 75-year-old client expresses concern over not being eligible for home health visits. The nurse explains to the client that the elderly are entitled to home care under which legislation?

1. Diagnosis-related groups (DRGs) 2. Omnibus Reconciliation Act 3. Medicare Act 4. Affordable Care Act

Nursing