The patient has a superficial partial-thickness (second-degree) burn. What characteristic unique to this type of burn does the nurse expect to find?
A) Bright red color
B) Surface moist and supple
C) Fluid-filled blisters
D) High pain level
C
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The school nurse learns that since the death of their youngest son, Mr. and Mrs. Jones have been missing work enough to face disciplinary action. The surviving children, aged 8 and 10 years, are having to make their own dinners as best they can
The school nurse notices that the children are wearing dirty clothes and sometimes are inadequately clothed. Which nursing diagnosis would be a priority in this situation? a. Caregiver role strain b. Interrupted family processes c. Compromised resilience d. Dysfunctional family processes
A 78-year-old man has been diagnosed by his geriatrician as being in the third stage of Alzheimer's disease. Which of the following manifestations would be most congruent with the staging of the man's disease?
A) The man displays an uncharacteristically flat affect and denies that he is experiencing any cognitive deficits. B) The man's wife and children have recently noticed a change in his memory and judgment and he gets easily flustered in social situations. C) The man is commonly oriented to person but disoriented to time and place. D) The man no longer remembers his wife's name and requires assistance with most of his activities of daily living.
When providing care to the client with an exacerbation of gout resulting in foot pain, which of the following nursing interventions will aid in promoting comfort?
1. Elevating the extremity using a foot cradle 2. Wrapping the extremity in an ace bandage 3. Encouraging liberal fluid intake 4. Providing passive range-of-motion exercises
The nurse is caring for a patient who has suffered a spinal cord injury and is concerned about the patient's elimination status. What is the nurse's best action?
a. Speak with the patient's family about food choices. b. Establish a bowel and bladder program for the patient. c. Speak with the patient about past elimination habits. d. Establish a bedtime ritual for the patient.