The home care nurse is visiting a diabetic older adult client who "skinned his shin" yesterday when he slipped while going up his front steps. Today, there is an intact scab over the abra-sion and the skin around it is red, warm, and hard
What is the nurse's best action? A. Teach the client how to apply cold compresses to the area.
B. Lift an area of scab to see if any exudate can be expressed.
C. Document the finding as the only action.
D. Notify the physician.
D
The clinical manifestations indicate cellulitis, a bacterial tissue infection that can spread rapidly and deeply, especially in a client who is diabetic.
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The patient, who is in recovery for alcohol addiction and is a heavy smoker, tells his nurse that he can never stop smoking because it is the only way he can relieve stress. He thinks his other problems are much more serious than his smoking
Having assessed that the patient is at the pre-contemplation stage of change, what would be an appropriate action for the nurse to take? 1. Help the patient make a plan to stop smoking. 2. Offer information regarding therapies and treatment options. 3. Help the patient identify specific stressors and some alternative ways to manage them. 4. Tell the patient that he is risking his life by smoking and must find a way to stop soon.
The synchronization of the atrial and ventricular events is the topic of the prenursing physiology class today. What are the physiologic characteristics of the nodal and Purkinje cells that provide this synchronization? (Mark all that apply.)
A) Loop connectivity B) Excitability C) Automaticity D) Conductivity E) Independence
The leadership team is updating the mission statement for a large healthcare organization. Which phrase should the team consider?
A) Develop wellness service clinics in an urban area in the Midwest. B) Promote educational activities related to caring for the sick and injured. C) Build a unit for clients with chronic obstructive pulmonary disease. D) Expand home care services in the rural area in the Southeast.
A 17-year-old unmarried female presents to the emergency department and says, "I am pregnant and I have a urinary tract infection.". There is no parent present. How should the nurse proceed regarding consent?
1. Assume consent because the patient came to the ED seeking help. 2. Assume consent is legal because the patient is pregnant. 3. Ask the patient to call her parents to give telephone consent. 4. Refer to the hospital policy and procedure manual about conditions of consent.