After assessing the skin status of a patient, the nurse determines the patient is at risk for pressure ulcer formation. Which of the following did the nurse most likely assess on this patient?
a. dry mucous mem-branes c. nonblanching ery-thema
b. damp skin d. +1 edema of ankles
C
The first sign of impending pressure ulceration is nonblanching erythema, which is redness that cannot be dissipated with direct pressure.
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A learned response to an anticipated event, such as when the person who does not like to fly experiences nausea and sweaty palms before boarding the airplane, is best described as:
a. A normal anxiety response b. Signal anxiety c. An anxiety state d. An anxiety trait
A nurse plans to collect data about morbidity and mortality among migrant workers in a community. Which barrier is the nurse most likely to encounter?
a. Difficulty securing a stable population b. Lack of resources c. Unwilling participants d. Fear of deportation
Name three types of moist cold treatments
What will be an ideal response?
The nurse obtains the following information from the patient:
Alert and oriented, is married, and has a history of heart disease. This is an example of: a. Collecting data b. Analyzing data c. Categorizing data d. Making a comprehensive physical assessment