A nurse is caring for a patient in the ICU. During assessment of the skin she notices a wound on the patient's coccyx that is covered in a brown leathery tissue-like material. Which of the following is the patient exhibiting?
A) Stage III pressure ulcer
B) Unstageable pressure ulcer
C) Abrasion
D) Stage II pressure ulcer
E) Suspected deep tissue damage
B
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A client with knee joint pain has returned after undergoing an arthroscopy. The nurse should plan to teach the client:
1. to increase fluids to remove the dye from the system. 2. to increase fiber in the diet. 3. crutch walking. 4. skin care.
The nurse would ask a client with the diagnosis of myopia about a family history of
a. central vision loss. b. color blindness. c. farsightedness. d. nearsightedness.
A patient who is recovering from a stroke has a history of taking herbal medications. Which of the following should the nurse instruct the patient to avoid?
a. Jimson weed c. Ginkgo b. St. John's Wort d. Lavender
The nurse is caring for a client recovering from a total hysterectomy. What should the nurse include when instructing this client prior to discharge?
A) The importance of douching after intercourse for at least 6 weeks B) Why bed rest is indicated for at least a month after the surgery C) The risks and benefits of hormone replacement therapy D) The importance of returning to normal activities of daily living as soon as possible