A dressing is secured with tape. When the tape is removed, some skin is removed. This causes:
a. a skin tear.
b. a pressure ulcer.
c. an abrasion.
d. a contusion.
C
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The nurse is concerned that a postpartum patient with a cervical laceration is developing hypovolemic shock. What did the nurse assess in this patient?
A) Weak and rapid pulse B) Warm and flushed skin C) Elevated blood pressure D) Decreased respiratory rate
During the health history interview, a patient tells the nurse about periodic fainting spells. Which question by the nurse will best elicit any associated clinical manifestations?
a. "How frequently do you have the fainting spells?" b. "Where are you when you have the fainting spells?" c. "Do the spells tend to occur at any special time of day?" d. "Do you have any other symptoms along with the spells?"
The CAT is:
a. a feline b. a synonym for the NCLEX c. a professional society for nurses d. an acronym for computerized adaptive testing
Appropriate interventions for a victim of interpersonal violence include: Select all that apply
A) Helping the client identify intra- and interpersonal strengths. B) Educating the client on how to avoid future incidents of violence. C) Using supportive, nurturing approaches. D) Maintaining objectivity and offering short, to-the-point responses. E) Distracting the client to avoid overwhelming feelings about the situation.