A patient has been diagnosed with venous stasis. Which of these findings would the nurse most likely observe?

a. Unilateral cool foot
b. Thin, shiny, atrophic skin
c. Pallor of the toes and cyanosis of the nail beds
d. Brownish discoloration to the skin of the lower leg


ANS: D
A brown discoloration occurs with chronic venous stasis as a result of hemosiderin deposits (a by-product of red blood cell degradation). Pallor, cyanosis, atrophic skin, and unilateral coolness are all signs associated with arterial problems.

Nursing

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The nurse is promoting a healthy diet to the mother of a 2-week-old girl. Which of the following is the most effective anticipatory guidance?

A) Encouraging breastfeeding until the 6th month B) Advocating iron supplements with bottle feeding C) Advising fluid intake per feeding of 5 or 6 ounces D) Discouraging the addition of fruit juice to the diet

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Which characteristics of the emergency department (ED) would the nurse cite as causing long waits and overcrowded conditions? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply

1. "We are open 24 hours a day and 7 days a week.". 2. "So many of our patients don't have any insurance.". 3. "We cannot turn people away even if they don't have an emergent condition.". 4. "Patients don't want to wait at the doctor's office and they think they can be seen here faster.". 5. "We have such a large population of older people in our community.".

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A state board of nursing is legally empowered to carry out the provisions of the Nurse Practice Act. Which of the following activities best demonstrates the mandate and jurisdiction of a state board of nursing?

A) Advocating for nurses during labor negotiations B) Organizing information campaigns to enhance the public perception of the nursing profession C) Specifying the way that nursing care is organized in public hospitals D) Establishing the standards that nurses must meet in order to be licensed

Nursing