Your patient complains of pruritus. You should examine the patient for which of the following associated signs and symptoms?
a. rash and edema c. cyanosis and coolness
b. coolness and pallor d. ecchymosis and purpura
A
Pruritus or itching of the skin is associated with the following manifestations: rashes, lesions, edema, angioedema, anaphylaxis, excoriation or ulcers as a result of scratching, lichenification or thickening of the skin, and systemic disease. As a result of scratching the skin due to pruritus, the skin would most likely be warm and red, not pale, cool, or cyanotic. Ecchymosis is a violaceous discoloration, also called a black-and-blue mark. Purpura is a condition characterized by the presence of confluent petechiae or confluent ecchymosis. Neither of these is associated with pruritus.
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The nurse is caring for a client with a diagnosis of pneumonia. The client's arterial blood gas results indicate a pH of 7.32 and a pCO2 of 32 mmHg. The nurse determines that these results indicate which of the following condition?
a. metabolic acidosis c. respiratory alkalosis b. metabolic alkalosis d. respiratory acidosis
Which of the following are goals of community-oriented nursing leadership? Select all that apply
1. To work with others to ensure a healthy community 2. To serve as an advocate for vulnerable and high-risk populations 3. To work with interprofessional teams to design ways to coordinate care 4. To make policies for the public good
Children's medication dosages are most often calculated using the child's body surface area and
A) Age B) Diagnosis C) Height D) Weight
S.G. returns to your unit 6 months later for her cleft palate repair (palatoplasty).Which of these nursing interventions are appropriate as you plan her care? Select all that
apply, and explain why or why not. a. Position patient side-lying or on abdomen postoperatively. b. Use elbow restraints as needed. c. Clear fluids; advance as tolerated. Patient may use a straw. d. Administer pain medications as ordered. e. Oral suction with a Yankauer catheter as needed. f. Maintain strict intake and output.