You are working at a nursing center and performing perineal care. You observe moderately sized red discoloration located on your resident's inner thigh. When will you report this finding? To whom will you report this? How will you describe the discolored areas?

What will be an ideal response?


You should report the finding of discolored skin as soon as you have completed the task and the resident is safe and comfortable. You should inform the nurse first, then anyone caring for the resident. Use common items, such as a quarter, to describe the size. The location in this case is the medial upper aspect of the inner thigh.

Nursing

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During the shift report, a nurse describes a client as "crazy." Which approach by the nurse would be best?

1. Ask the staff what terminology they wish to use. 2. Say nothing. 3. Suggest that staff use the term "mentally ill." 4. Role model using the term "nervous breakdown."

Nursing

The nurse is planning to assess new memory with a patient. The best way for the nurse to do this would be to:

a. Administer the FACT test. b. Ask him to describe his first job. c. Give him the Four Unrelated Words Test. d. Ask him to describe what television show he was watching before coming to the clinic.

Nursing

When preparing to insert an IV, the nurse reviews the client history to determine if there are sites that have been affected by preexisting conditions

Conditions that may limit available veins include:(Select all that apply) Standard Text: Select all that apply. 1. Pregnancy 2. Fluid overload 3. CVA 4. Orthopedic surgery 5. Dialysis shunt

Nursing

Which of these changes in the female reproductive system is the result of normal aging?

a. Estrogen production remains constant. b. Libido diminishes. c. Risk for breast cancer increases. d. Vaginal secretions become more acidic.

Nursing