Which of the following type of wound best describes a skin graft donor site?
a. Skin tear
b. Partial thickness
c. Full thickness
d. Split thickness
ANS: B
A donor site is considered a partial-thickness wound. A skin tear is accidental. Full and split thickness describe different types of grafts, not donor sites.
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A patient comes into the clinic complaining of a runny nose and facial pain. The nurse's initial assessment would include:
1. assessment for nasal drainage and sinus tenderness. 2. transillumination and nasal speculum examination. 3. palpation of the frontal and maxillary sinuses and tonsillar inspection. 4. turbinate assessment and assessment for patency of the nares.
The nurse performing an assessment of a patient's endocrine system expects to address the structure and function of which glands? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Lacrimal glands 2. Gonads 3. Salivary glands 4. Hypothalamus 5. Thyroid gland
The nurse is reviewing physician orders for a patient who has been admitted for the treatment of myocarditis
The nurse would contact the prescriber regarding which medication orders? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Ibuprofen 2. Digoxin 3. An antibiotic 4. An ACE inhibitor 5. Antidysrhythmic
When providing care on an Indian reservation, the nurse has prioritized assessments for diabetes and fetal alcohol syndrome when working with residents of the reservation. How should this nurse's practice be best understood?
A) The nurse is correct in assessing for health problems that have a higher incidence and prevalence among this population. B) The nurse is stereotyping American Indians as leading unhealthy lifestyles and abusing alcohol. C) The nurse is performing cultural imposition of the majority American culture, and the accompanying beliefs around diabetes and alcohol use. D) The nurse should seek specific permission from each client before proceeding with these assessments.