The nurse is preparing to examine the skin of a new client. Prior to assessing the client, the nurse reviews the client's medical record for factors that increase risk for impaired skin integrity, such as: Standard Text: Select all that apply
1. Young adulthood.
2. Chronic illness.
3. Trauma.
4. Peripheral vascular disease.
5. Steroid use.
2,3,4,5
Rationale: The skin of infants and older adults is more fragile than is the skin of a young adult.
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The nurse is aware that which of the following results when a decreased concentration of hydrogen ions occurs within body fluids?
a. They become acidic. b. They become alkaline. c. Carbon ions are retained. d. Oxygen ions are released into the blood.
When monitoring a client for the first symptoms of radiation sickness, the nurse expects to note:
a. anorexia, vomiting, and diarrhea b. nausea, vomiting, and diarrhea c. vomiting, fatigue, and weight loss d. fatigue, weight loss, and bone marrow sup-pression
A nursing unit has received a higher than usual number of negative client responses about aspects of the nursing care during the previous quarter
The quality assurance officer evaluating this unit pays particular attention to which component of care? 1. Competency 2. Structure 3. Process 4. Outcome
During an assessment, the nurse learns that a client is inhaling while swallowing food. Which of the following does this assessment finding suggest to the nurse?
1. The client is recovering from a stroke. 2. The client is at risk for aspiration. 3. The client will experience dyspepsia. 4. The client has esophageal reflux disease.