A nurse performs a visual assessment of a wound during the inflammatory phase of healing. Which of the following observations does the nurse make? Select all that apply
A) Bleeding
B) Erythema
C) Edema
D) Scarring
E) Itching
F) Pain
B, C, F
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The nurse is working with a client who has experienced a fetal death in utero at 20 weeks. The client asks what her baby will look like when it is delivered. Which statement by the nurse is best?
1. "Your baby will be covered in fine hair called lanugo." 2. "Your child will have arm and leg buds, not fully formed limbs." 3. "A white, cheesy substance called vernix caseosa will be on the skin." 4. "The genitals of the baby will be ambiguous."
In evaluating for pancreatitis, the nurse will assess for
A) amylase and lipase elevations. B) a decreased bilirubin level. C) decreased white blood cell (WBC) and blood glucose levels. D) hyperkalemia and hypercalcemia.
After application of a synthetic cast, the client asks the nurse how long he must wait until the cast is completely dry and he can tolerate weight-bearing. The nurse's most appropriate response is
a. 10 minutes. b. 20 minutes. c. 30 minutes. d. 60 minutes.
Nurses entering into the workforce today are faced with which of the following relationships that could create organizational conflict? (Select all that apply.)
a. Nurse-physician relationship b. Nurse-nurse relationship c. Nurse-patient relationship d. Nurse-chief nursing officer relationship e. Nurse-auxiliary personnel relationships