During a skin integrity assessment, a nurse notices an area on the right heel that is black and draining purulent, foul-smelling exudate. How should the nurse document this as a pressure ulc-er?
a. Stage I
b. Stage II
c. Stage III
d. Stage IV
D
In a stage IV pressure ulcer, full-thickness skin loss has occurred with extensive destruction of the deeper underlying muscle and, possibly, the bone tissue.
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The charge nurse on a medical unit is preparing to admit several "clients" who have possible pandemic flu during a preparedness drill. What action by the nurse is best?
a. Admit the "clients" on Contact Precautions. b. Cohort the "clients" in the same area of the unit. c. Do not allow pregnant caregivers to care for these "clients." d. Place the "clients" on enhanced Droplet Precautions.
Before performing a blood glucose test using a glucometer, the nurse asks the client if he has ever had his blood glucose level measured using a glucometer before
Which of the following statements is a possible reason for the nurse to ask this question? A) Provides a basis for teaching B) Aids in reducing blood glucose levels C) Determines whether test strips are appropriate for use D) Ensures that the test is accurate
If the above Apgar scores were at 1 minute, which baby has the best chance of achieving a score of 10 at 5 minutes?
A) Baby Smith B) Baby Johnston C) Baby Sitar D) Baby Frasier
The nurse is teaching a client about the administration of omeprazole (Prilosec) for PUD. The nurse teaches the client that the medication must be administered no fewer than _______ minutes prior to a meal, preferably breakfast
Standard Text: Record your answer rounding to the nearest whole number. What will be an ideal response?