The patient has systemic inflammatory response syndrome (SIRS) and very severe third spacing of fluid
During routine assessment, the nurse finds that the patient's skin appears generally swollen, red, and shiny, and the nurse is unable to depress the surface of the skin. What type or degree of edema is present?
A) Nonpitting
B) 2+
C) 3+
D) 4+
A
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A nurse is discharging parents and their new infant. When assisting the family to place the infant in a car seat, which observation leads the nurse to reinforce teaching?
A. The baby is wearing a sack-type sleeper. B. The baby is wearing a single layer of clothes. C. The parent checks the temperature of the car seat. D. A rear-facing car seat is in the back seat.
The nurse is assessing a client's skin and notes that the color of the skin, nails, and the client's mucous membranes are very light. Which of the following descriptions would the nurse use when documenting this finding?
1. Cyanosis 2. Pallor 3. Erythema 4. Jaundice
The nurse is caring for a woman following a rape. The nurse's responsibilities include:
A) verifying the presence of sperm, to verify the rape took place. B) assisting the woman to shower and douche, to prevent infection. C) offering emotional support, s the woman might feel angry and humiliated. D) screening the victim for the presence for alcohol and illegal drugs.
Which statement is true with regard to making a follow-up call after submitting a résumé and cover letter for a position?
a. Do not call; the employer will call the applicant if interested. b. Call on the date and at the time mentioned in the cover letter. c. Call on a Monday before 8 AM if possible. d. Call on a Friday between 2 PM and 4 PM if possible.