Which of the following is an example of a secondary lesion?
1. surgical incision
2. stage I decubitus ulcer
3. stage III decubitus ulcer
4. cysts
ANS: 3
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A nurse subscribing to Neuman's system model would explain to a patient that illness is caused by
a. disharmony between the patient and the patient's environment. b. disorganization and dysfunction, leading to imbalances in the system. c. losing the ability to successfully negotiate differing social roles. d. structural disturbances that limit the patient's self-care abilities.
What are the basic purposes of written patient records? (Select all that apply.)
a. Teaching b. Legal record of care c. Written communication d. Research and data collection e. Permanent record for accountability f. Temporary record of hospitalization
The parents of a 14-year-old girl complain about the amount of time she spends on the Internet. Which question would the nurse ask the parents to assess her psychosocial development?
A) "Do you limit her usage of the Internet to an hour per day?" B) "Does she do her homework and have fun with her peers?" C) "Did you place the computer where you can keep an eye on her?" D) "Did you warn her about protecting her identity online?"
A client is unresponsive and has no pulse. The nurse notes that the electrocardiogram tracing shows continuous large and bizarre QRS complexes measured greater than 0.12 each. This rhythm is identified as:
1. premature ventricular complexes. 2. torsades de pointes. 3. ventricular fibrillation. 4. ventricular tachycardia.