A Stage IV pressure ulcer appears as
A. full-thickness skin loss extending to the muscle, tendon, or bone.
B. partial-thickness skin loss with an abrasion or blistered surface.
C. full-thickness skin loss with damage of subcutaneous tissue.
D. a highly defined area or red, shiny, intact skin.
Answer: A
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An older client's serum calcium level is 8.7 mg/dL. What possible etiologies does the nurse consider for this result? (Select all that apply.)
a. Good dietary intake of calcium and vitamin D b. Normal age-related decrease in serum calcium c. Possible occurrence of osteoporosis or osteomalacia d. Potential for metastatic cancer or Paget's disease e. Recent bone fracture in a healing stage
In an attempt to contain the staffing budget the nurse manager may introduce:
1. Advanced practice nurses 2. Cross training of nursing staff 3. Longer work days 4. Nurses with bachelor degrees
The client asks about nutritional needs before and during pregnancy. The nurse responds by telling the client she should increase her intake of which of the following food groups in order to meet the requirements for folic acid?
1. Meats, fish, and poultry 2. A mix of vegetables and fiber 3. Oranges and green leafy vegetables 4. Foods containing low fat and high protein
This is how Y.W. responded to painful stimuli when he was initially admitted. What is this
response called and what does it signify? What will be an ideal response?