The nurse monitors for which clinical indicator when the older adult complains of pruritus?
a. Coarse skin c. Brownish skin
b. Brown macule d. Regional edema
A
The nurse is alert for rough, dry, flaky skin when an older adult complains of pruritus to be able to prevent linear excoriation leading to skin breaks, excoriation, inflammation, and infection. A brown macule is a freckle or a liver spot, an indication of sun exposure. Brownish skin is a clinical indicator of venous insufficiency. Regional edema is a sign of fluid overload and venous in-sufficiency; localized edema is a sign of infection.
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The nurse is seeing a 20-year-old client with a urinary tract infection (UTI) at the women's health clinic. The client says to the nurse, "It seems to me more women get urinary infections than men. Why is this?" What is the best response by the nurse?
a. "Because women are usually more sexually active than men, they are at higher risk for infections." b. "Men have a prostate gland that protects them against urinary tract infections." c. "The female urethra is longer than a male making women more prone to infections." d. "Hormone changes during pregnancy and pressure of the uterus on the bladder can make women more prone to UTIs."
The nurse has been caring for a child who has been receiving growth hormone therapy for several years. When the child returns for evaluation following a sudden growth spurt, what nursing diagnosis will the nurse add to the plan of care?
A) Disturbed body image B) Deficient knowledge regarding drug therapy C) Imbalanced nutrition: Less than body requirements related to metabolic changes D) Risk for disproportionate growth
An oxygen cylinder is turned on, and the gauge registers in the green range. What action should the nurse take at this time?
a. Apply the oxygen as ordered. b. Notify the respiratory therapy department. c. Obtain a new cylinder of oxygen. d. Adjust the flowmeter slightly below what is ordered.
The nurse can used alcohol on the skin to decolor:
a. iodine. c. hexachlorophene. b. silver nitrate. d. hydrogen peroxide.