The nurse is assessing bruising on an injured patient. Which color indicates a new bruise that is less than 2 hours old?
a. Red
b. Purple-blue
c. Greenish-brown
d. Brownish-yellow
ANS: A
A new bruise is usually red and will often develop a purple or purple-blue appearance 12 to 36 hours after blunt-force trauma. The color of bruises (and ecchymoses) generally progresses from purple-blue to bluish-green to greenish-brown to brownish-yellow before fading away.
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When comparing a portable chest radiograph taken in an intensive care unit bed with one taken with the patient upright in the radiology department, one significant difference is that the
a. portable chest radiograph is usually clearer. b. one in the intensive care unit is considered a posterior view. c. portable chest radiograph magnifies some thoracic structures and decreases the sharpness of the structures. d. departmental chest radiograph enlarges some thoracic structures.
A 53-year-old client asks the nurse to explain why there is shoulder pain when the gallbladder has stones. The best response by the nurse is:
1. "This type of pain is known as referred pain, and is normal." 2. "This type of pain increases pain tolerance." 3. "Referred pain helps you perceive pain sooner." 4. "Abnormal neurons in the body cause referred pain."
The LPN has been fired from her job at the nursing home and reported to the state board of nursing for giving medication to a client without a physician's order. The LPN states that she was not aware that this was a violation of scope of practice
What is the LPN's responsibility regarding knowing how to practice within their scope? A) The nurse should call the state board and ask for a list of what she can and cannot do. B) The nurse should access her state nurse practice act to determine the set standard for nurses in her state. C) The nurse should ask an RN what their scope of practice is. D) The nurse should ask another LPN what she can and cannot do.
Where is the cerebrospinal fluid (CSF) produced?
a. Arachnoid villi b. Choroid plexuses c. Ependymal cells d. Pia mater