A patient has a wound on his thigh that is swollen and red. The nurse assesses that the surrounding tissue has a dusky blue color with a few small dark blisters. Which other assessment findings would cause the nurse to alert the healthcare provider about possible necrotizing fasciitis (NF)?
1. Blood pressure is 140/90 mm Hg.
2. The patient reports recently taking steroids for a severe ear infection.
3. The patient works in an elementary school.
4. The patient reports pain as a 9 on the 1 to 10 pain scale.
5. The patient's body mass index is 31.
2, 4, 5
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An older patient has never exercised, but wants to begin now. What response by the nurse is best?
A. "At your age, exercise will not benefit you." B. "Good for you! I am so proud of you!" C. "Remember to stretch before exercising." D. "Start with exercising for only 5 minutes a day."
A woman is to undergo an amnioinfusion. Which statement would be most appropriate to include when teaching the woman about this procedure?
A) "You'll need to stay in bed while you're having this procedure.". B) "We'll give you an analgesic to help reduce the pain.". C) "After the infusion, you'll be scheduled for a cesarean birth.". D) "A suction cup is placed on your baby's head to help bring it out.".
The chief nursing officer understands that clinical incompetence is best prevented by a(n):
a. Flexible protocol for evaluating competency skills. b. Standardized clinical skills checklist. c. Administration of personality tests and competency assessments at point of hire. d. Formalized competency program with established standards for practice.
The nurse is reviewing the pt's hx, assessment findings, and lab results for a pt with suspected kidney problems. which manifestations is the main feature of nephrotic syndrome?
a. flank asymmetry b. proteinuria greater than 3.5 g of protein in 24 hours c. serum sodium 148 mmol/L d. serum cholesterol (total) 190 mg/dL