To assess skin turgor, the nurse would:
a. examine mucous membranes of the mouth.
b. compare limbs for similar color.
c. pinch skinfold on chest for tenting.
d. palpate ankles for evidence of pitting edema.
C
Skin turgor can be assessed by tenting the skin on the chest and recording the speed at which the "tent" subsides.
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When a muscle acts as a pump what is a necessary property for the muscle to function efficiently?
A) Antagonistic contraction B) Antagonistic relaxation C) Simultaneous contraction D) Simultaneous relaxation
After a forceps-assisted birth, the client is observed to have continuous bright red lochia but a firm fundus. Which other data would indicate the presence of a potential vaginal wall hematoma?
a. Lack of an episiotomy b. Mild, intermittent perineal pain c. Lack of pain in the perineal area d. Edema and discoloration of the labia and perineum
The exposed part of a limb which has a cast on it should appear or feel warm
True False
During a group session of rape trauma survivors the nurse notes that one participant is in the reorganization phase of recovery. What did this participant demonstrate to cause the nurse to make this decision? Select all that apply
1. Blames the assailant for the rape 2. Asks what she did to deserve the attack 3. Explains about constantly reliving the rape 4. Asks when the nightmares are going to stop 5. Talks about having one-night stands after bar hopping