An older adult African-American woman has gone to the clinic where a RN volunteers twice a week. She is a diabetic and has some skin breakdown on the calf of her right leg. Her skin is very darkly pigmented
To best examine the patient's skin, the nurse should use which of the follow-ing? a. Halogen lighting
b. Artificial warming to increase room tem-perature
c. Natural sunlight
d. Air conditioning to lower room tempera-ture
C
The recommended light is natural sunlight, with halogen lighting being another option. Sunlight is the best choice for detecting skin changes in patients with darker skin. A room that is too warm causes superficial vasodilation, resulting in an increased redness of the skin. Patients who become too cold by air conditioning can develop cyanosis (bluish color) around the lips and nail beds.
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The perinatal nurse routinely screens pregnant women for postpartum depression. Which woman does the nurse screen as the priority?
A. Adolescent B. Age 35 years or older C. Ambivalent at first visit D. First pregnancy
The nurse educates the client about the major functions of the nose and sinuses. Which of the following structures is specifically responsible for filtering, moistening, and warming air that enters the lower portion of the respiratory tract?
1. Olfactory cells 2. Columella 3. Turbinates 4. Nares
Which of the following accompanies decreased ovarian function?
A) Increased sleep B) Diminution of sexual interest C) Enlargement of the clitoris D) Decrease in vaginal secretions
The five steps of the nursing process parallel the steps of scientific problem-solving. In the steps in scientific problem-solving the nurse formulates a tentative solution to the client's problem. Which related step is in the nursing process?
A) Nursing assessment B) Nursing diagnosis C) Planning D) Implementation