You observe that the skin on the client's right leg is cooler and paler than the skin of the left leg. What is the significance of this observation?
A. The right leg has interference with vascular flow.
B. The client may have chronic hepatic or renal disease.
C. Normal skin aging can occur at different rates in different body areas.
D. The left leg has experienced greater sun exposure than the right leg.
A
Localized decreased skin temperature indicates interference with vascular flow to the region.
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A client is diagnosed with mental retardation and has an IQ of 28 . The nurse would correctly identify this IQ as being which level of mental retardation?
A) Mild B) Moderate C) Severe D) Profound
A patient, 3 days postoperative, tells the nurse that her wound is a little more painful today than it was yesterday. Which of the following would be important information to document about the patient's wound? Select all that apply
1. Skin turgor 2. Color of drainage 3. Length of wound 4. Odor of drainage 5. Closed or open
An infant has sebaceous retention cysts in the first few weeks of life. The nurse documents these cysts as
A) Milia B) Prickly heat C) Acne vulgaris D) Lanugo
Respirations that are characterized by periods of dyspnea followed by periods of apnea are called
A) rales. B) Cheyne-Stokes. C) wheezes. D) tachypnea.