The nurse understands that wounds heal more rapidly in infants and children because:
1. Their skin is more fragile.
2. Their skin has not been exposed to sun.
3. Their skin is thinner.
4. Of rapid cell division.
4
Rationale: Infant skin is more fragile and susceptible to injury, but this is not why it heals more rapidly.
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An elderly patient in the CCU is getting out of bed for the first time after being on bed rest for several days. What is the highest-priority nursing intervention?
A) Provide adequate physical help so that the patient does minimal weight bearing. B) Ensure that the patient's call light is always within reach. C) Apply a vest restraint while the patient is up to prevent falling. D) Have the patient sit on the side of the bed for a few minutes before standing.
A nurse is assessing a client with a stage IV pressure ulcer. What assessment of the ulcer would be expected?
A) Full-thickness skin loss B) Skin pallor C) Blister formation D) Eschar formation
Which should the nurse recognize as an example of localized amnesia?
A. A client cannot relate any lifetime memories, including personal identity. B. A client can relate family memories but has no recollection of a particular brother. C. A client cannot remember events surrounding a fatal car accident. D. A client whose home was destroyed by a tornado only remembers waking up in the hospital.
A patient experiencing ________ is most likely to be administered spironolactone.
A. open-angle glaucoma B. hypokalemia C. hypotension D. acute mountain sickness