The nurse is assessing the skin color for a dark-skinned patient. Which location is most appropriate for the nurse to use for this assessment?
1) Sclera
2) Oral mucosa
3) Soles of the feet
4) Abdominal region
ANS: 2
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Removal of specific organs may place the patient at risk for impaired immune function
During the health history, the nurse asks the patient if he has had surgical removal of which organ that may lead to impairment of the immune system? A) Lung B) Spleen C) Colon D) Pancreas
The nurse prepares to administer an intramuscular injection to a patient who is on anticoagulation therapy. Which techniques does the nurse perform to prevent excessive bleeding? (Select all that apply.)
a. Using the smallest possible injection needle b. Injecting the drug slowly, over at least a 60-second period c. Applying pressure to the site for at least 5 minutes after the injection d. Ensuring that the needle is placed within a previous injection puncture site e. Cleansing the skin at the injection site for at least 30 seconds before the injection f. Applying warm compresses to the site for at least 15 minutes after the injection
Understanding cultural differences in health care is important because it will help the nurse to understand the manner in which people decide on obtaining treatments and medical care. In independent cultures an individual will
a. put himself first. b. consult family members for advice. c. ask for a second opinion. d. travel great distances to receive the best care.
Which action should the nurse take before administering morphine 4.0 intravenously to a patient complaining of incisional pain?
a. Assess the patient's incision b. Clarify the order with the prescriber c. assess the patient's respiratory status d. monitor the patient's heart rate