The nurse's assessment of an older adult patient who is postoperative day 1 following orthopedic surgery reveals scrotal edema. A review of the patient's recent documentation indicates that the patient is likely fluid overloaded
Why are areas such as the scrotum particularly susceptible to edema?
A) The scrotum has a high concentration of Merkel cells, which are easily engorged with free water.
B) The scrotum lacks an epidermal layer, making it more susceptible to pressure from deeper skin layers.
C) The vascularity and thin dermis of the scrotum make it prone to edema.
D) The scrotum has a thick basement membrane, which is highly vascular.
C
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The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should keep in mind that novice nurses, without a background of skills and experience from which to draw, are more likely to make their decisions using:
a. Intuition. b. A set of rules. c. Articles in journals. d. Advice from supervisors.
A woman pregnant with her first child tells the nurse that her husband slapped her across the face several times because his dinner was not ready. She stated that previous to this episode, he had never hit her. The nurse should tell the client,
a. "This is probably just an isolated incident." b. "Abuse often begins during a woman's first pregnancy." c. "What did you do to provoke him?" d. "Give me your husband's work number so I can talk to him."
EBP has a basis in ethical principles. However, not all approaches used to improve quality are evidenced based or ethical. Evidence-based approaches would provide all necessary information such as length of time to apply heat and medication to use in the
1. spiritual needs 2. measuring intake and output 3. daily weights 4. ambulating with assistance
The nurse is caring for a patient recovering from a splenectomy. What should the nurse realize will occur regarding this patient's immunity?
A. The patient will have edematous lymph glands throughout his body. B. The patient will need to avoid infections every day of his life. C. The thymus gland will take over the spleen's functions. D. The liver and bone marrow will take over the spleen's functions.