When assessing a patient's skin, the nurse needs to know that
a. Restricted movement can increase blood circulation.
b. Paralyzed patients have normal sensory function.
c. Loss of subcutaneous tissue may increase the rate of wound healing.
d. Moisture on the skin can lead to skin maceration.
D
Moisture on the surface of the skin serves as a medium for bacterial growth and causes irritation, softens epidermal cells, and leads to skin maceration. When restricted from moving freely, dependent body parts are exposed to pressure that reduces circulation to affected tissues. Know which patients require help to turn and change positions. Patients with paralysis, circulatory insufficiency, or local nerve damage are unable to sense an injury to the skin. Patients with limited caloric and protein intake develop thinner, less elastic skin with loss of subcutaneous tissue, which results in impaired or delayed wound healing.
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The law specifically designed to protect and regulate patient privacy is the
a. Patient's Bill of Rights b. Omnibus Budget Reconciliation Act (OBRA) c. Health Insurance Portability and Accountability Act (HIPAA) d. Patient Self-Determination Act
The nurse on the pediatric unit is caring for a 10-year-old boy with a diagnosis of hemophilia. The nurse knows that a priority nursing diagnosis for a patient with hemophilia is what?
A) Hypothermia B) Diarrhea C) Ineffective coping D) Imbalanced nutrition: Less than body requirements
Mrs. Johnson is a 65-year-old postmenopausal woman in good health. Because of her age and postmenopausal status, Mrs. Johnson is more prone to have:
a. anorexia. b. calcium deficit. c. cancer. d. diabetes.
A older adult's diagnosis of sleep apnea is supported by nursing assessment and history data that includes: Select all that apply
a. followed a vegetarian diet for last 28 years b. male gender c. a smoking history of 1 pack a day for 45 years d. 30 pounds over ideal weight e. history of Crohn's disease