You are doing an admission assessment on an elderly patient newly admitted for end-stage liver disease. You must assess the patient's skin turgor. What should you remember when evaluating skin turgor?
A) Overhydration causes the skin to tent.
B) Dehydration causes the skin to appear edematous and spongy.
C) Inelastic skin turgor is a normal part of aging.
D) Normal skin turgor is moist and boggy.
C
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An assessment of the cognitive function of attention is typically conducted by asking the patient to
a. repeat a list of numbers, starting with two numbers (e.g., 3, 5) and progressing to five or six (e.g., 1, 5, 4, 9, 0). b. repeat a series of numbers with seven digits backward and forward. c. recite her home telephone number backward. d. recite a personal identification number such as her social security number.
patient recovering from a burn to the left side of his face tells the nurse that he has no idea how he is going to return home and resume his regular life since he is so "ugly and disfigured." What nursing response is indicated?
1. "It is good that your work does not include having to meet the public every day." 2. "I don't think your scars are so bad." 3. "I think you should see a plastic surgeon before you try to go back to work." 4. "Would you like a referral to the Phoenix Society?"
A patient has a serum phosphate level of 4.7 mg/dL. Which treatments should the nurse expect to be prescribed for this patient?
Select all that apply. 1. IV normal saline 2. calcium-containing antacids 3. IV potassium phosphate 4. additional milk intake 5. increased vitamin D intake
In the normal electrocardiogram, what does the PR interval represent?
a. Atrial depolarization b. Ventricular depolarization c. Atrial activation to onset of ventricular activity d. Electrical systole of the ventricles