A patient complains about what appears to be a tunnel-like infection under the skin with a small opening that is draining thick, yellow pus. The nurse identifies this type of wound as a
1. Pressure ulcer.
2. Stasis ulcer.
3. Contusion.
4. Sinus tract.
ANS: 4
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A 69-year-old patient has been admitted to an adult psychiatric unit because his wife thinks he is getting more and more confused. He laughs when he is found to be forgetful, saying "I'm just getting old!"
After the nurse completes a thorough neurologic assessment, which findings would be indicative of Alzheimer disease? Select all that apply. a. Occasionally forgetting names or appointments b. Difficulty performing familiar tasks, such as placing a telephone call c. Misplacing items, such as putting dish soap in the refrigerator d. Sometimes having trouble finding the right word e. Rapid mood swings, from calm to tears, for no apparent reason f. Getting lost in one's own neighborhood
A client, newly prescribed a low-sodium diet due to hypertension, is asking for help with meal choices. The client provides four meal choices, which are favorites. Which selection would be best?
A) Toasted cheese sandwich on whole wheat toast with tomato soup B) Creamed chipped beef over toast with mashed potatoes C) Hot dog with ketchup and relish on whole wheat bun D) Green pepper stuffed with diced tomatoes and chicken
The nurse reviews a prescription for the client who needs continuous bladder irrigation after prostate surgery. Which should the nurse implement to facilitate bladder irrigation?
1. Label irrigation solution with for GU irrigation only. 2. Change irrigation tubing at least once every 12 hours. 3. Infuse irrigation solution at 100 ml/hr for clear urine. 4. Ensure that client has a triple-lumen urinary catheter.
The nurse teaching a group of adults about cancer warning signs presents to the group a list of the seven possible warning signs of cancer that is used by the American Cancer Society. What should this list include? Select all that apply
1. Areas of alopecia 2. Sores that do not heal 3. Nagging cough or hoarseness 4. Indigestion or difficulty swallowing 5. Change in bowel or bladder habits 6. Absence or decreased frequency of menses