During initial assessment, the nurse notes that the edges of a wound are hard to palpation. The nurse would continue assessment for which conditions?
1. Infection
2. Necrosis
3. Osteomyelitis
4. Deep tissue injury
5. Maceration
1, 2, 4
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The most effective approach for dealing with a values conflict in which substance abuse or an addiction is involved is to begin with an assessment interview, during which the nurse should: (Select all that apply.)
a. listen for subtle signs of denial. b. directly confront the patient about his drug abuse. c. use a matter-of-fact approach to inform the patient. d. provide straightforward information. e. avoid direct confrontation.
Nursing empowerment that derives from the perspective of power with or power to:
a. is given to or delegated to the nurse. b. is a directive process regarding change. c. is more focused on outcome than process. d. is based on mutual love and respect.
Which is an accurate statement concerning a child's musculoskeletal system and how it may be different from adults?
a. Growth occurs in children as a result of an increase in the number of muscle fibers. b. Infants are at greater risk for fractures because their epiphyseal plates are not fused. c. Because soft tissues are resilient in children, dislocations and sprains are less common than in adults. d. Their bones have less blood flow.
The nurse is working with a family going through a divorce. The mother tells the nurse how good her young son has been in washing windows and doing household chores. The nurse realizes that this child is most likely:
a. in denial c. depressed b. bargaining d. angry