Which skin assessment finding would cause the nurse to suspect dehydration in a middle-aged patient admitted to the hospital with traveler's diarrhea?
a. Edema
b. Hyperhidrosis
c. Pallor
d. Tenting
D
Tenting, skin that takes several seconds to return to normal after lifting up a fold, may be a sign of dehydration. Edema, an excessive amount of fluid in the tissues, may be a sign of heart failure, kidney disease, peripheral vascular disease, or low albumin levels. Hyperhidrosis is a term for excessive sweating, which may be a sign of thyrotoxicosis. Pallor, abnormal loss of skin color, may be a sign of anemia or blood loss.
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A) Loop diuretic B) Potassium-sparing diuretic C) Thiazide diuretic D) Osmotic diuretic
A nurse delegates hygiene care for a client who has advanced cirrhosis to an unlicensed nursing personnel (UAP). Which statements should the nurse include when delegating this task to the UAP? (Select all that apply.)
a. "Apply lotion to the client's dry skin areas." b. "Use a basin with warm water to bathe the client." c. "For the client's oral care, use a soft toothbrush." d. "Provide clippers so the client can trim the fingernails." e. "Bathe with antibacterial and water-based soaps."
An adolescent states to the nurse during a pain assessment, "I don't know how to describe my pain, it just hurts and I don't understand why I just cannot have something for it." Which action should the nurse take?
A. Ask the client what they would like to have for pain. B. Continue with the assessment. C. Provide questions that require yes or no answers related to pain. D. Leave the room and come back later.
This insulin ________ syringe is designed with features to prevent accidental needlestick injuries.
Fill in the blank(s) with the appropriate word(s).