Which of the following is an abnormal capillary refill finding that the nurse should report?
a. 1 second
b. 2 seconds
c. 3 seconds
d. 4 seconds
D
Normal capillary refill is less than 3 seconds; therefore, the nurse should report a capillary refill of 4 seconds.
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A nurse wants to find a description of diagnostic criteria for anxiety disorders. Which resource would have the most complete information?
a. The ICD-10 b. Nursing Outcomes Classification c. Diagnostic and Statistical Manual of Mental Disorders d. The ANA Psychiatric-Mental Health Nursing Scope and Standards of Practice
The nurse is caring for a patient with a major mental illness who is refusing to take the prescribed medication to treat the condition. The patient tells the nurse, "Taking that medication is against my religion." What is the nurse's best respon
1. "This medication does not go against your religion or your spirituality." 2. "You can be assured that your religion will not be compromised by taking this medication." 3. "Tell me in what way taking this medication might go against your religious beliefs." 4. "This medication is used to treat your disease and you must take it, regardless of your religion or spirituality."
A nursery nurse is assessing the neurologic status of a newborn boy. What area would the nurse be assessing?
A) Pain B) Weight and length C) Reflexes D) Ability to eat
The nurse would assess a patient admitted with cellulitis for which of the following localized signs?
A. Pain B. Fever C. Chills D. Malaise