A Caucasian patient is admitted with possible carbon monoxide poisoning. What skin color can the nurse expect to find that would support this diagnosis?
1. bluish
2. dusky red
3. cherry red
4. orange green
Correct Answer: 3
Carbon monoxide poisoning is characterized by cherry red coloring of the face and upper torso. Bluish skin is associated with cyanosis. Dusky red skin is found in individuals with venous stasis, and orange green skin in individuals with uremia.
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A patient who has just been told that he or she needs to go on dialysis asks the nurse what the normal output of urine is per day. What would be the nurse's best response?
A) 2,000 mL B) 3,000 mL C) 4,000 mL D) 5,000 mL
The nurse is assisting an aging client with osteoarthritis to ambulate. Which of the following instructions is most appropriate for the nurse to give the client?
A) "Bend slightly at the waist.". B) "Close your eyes and relax.". C) "Stand straight and tall.". D) "Watch your feet.".
Which assessment data would the nurse interpret as indicating a patient could be experiencing a fat embolus? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Pulse oximetry 86% 2. Petechiae on the chest and upper arms 3. Shortness of breath and chest pain 4. Respiratory rate 32 5. Skin hot, dry, and flushed
An elderly female patient tells the nurse that she is having trouble "holding her water" and doesn't want to drink fluids anymore. Which of the following does this information provide to the nurse?
1. The patient is experiencing incontinence. 2. The patient has a urinary tract infection. 3. The patient has a reduced thirst reflex. 4. The patient needs estrogen cream.