While assessing a new wound, the nurse notes red, watery drainage. How should the nurse describe this type of drainage when documenting?
a. Sanguineous
b. Serosanguineous
c. Serous
d. Purosanguineous
ANS: B
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When entering a client's room, a nurse observes the client laughing. The nurse asks what is making the client so happy. The client states angrily, "I'm not happy, you fool! I'm very upset," and then begins to cry
The nurse would note this behavior when evaluating the client's: a. emotional status c. mental status b. intellectual function d. orientation
The elderly are at high risk of ADRs due to:
1. Having greater muscle mass than younger adults, leading to higher volume of distribution 2. The extensive studies that have been conducted on drug safety in this age group 3. The blood-brain barrier being less permeable, requiring higher doses to achieve therapeutic effect 4. Age-related decrease in renal function
A nurse caring for an elderly postsurgical patient helps the patient perform leg exercises. Which age-related change makes these exercises even more important?
A) reduced vital capacity B) decreased peripheral circulation C) decreased oxygenation of blood D) decreased reaction time and coordination
ICP waveforms
A) are not usually influenced by blood pressure or respiratory effort. B) resemble arterial pressure or central venous pressure waveforms. C) are seldom monitored due to their lack of clinical significance. D) resemble right ventricular pressure waveforms.