The student nurse is preparing to document a suspicious area over a bony prominence. Which description would be most appropriate?
a. Reddened area on left hip
b. Reddened, nonblanching area approx-imately 1 cm ? 1 cm
c. Suspicious area over left trochanter
d. Nonblanching area over left trochanter 0.8 cm ? 1.2 cm
D
The area should be described as to location, appearance, and exact measurement.
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A 4-month-old baby has been brought to the emergency department by her parents, and initial assessment is highly suggestive of bacterial meningitis. Consequently, the baby has been admitted, and empiric antibiotic therapy has been ordered
The nurse should understand what characteristic of this infant's current treatment plan? A) Success or failure of treatment will not be apparent for several weeks. B) The infant will receive aggressive treatment with a narrow-spectrum antibiotic. C) Culture and sensitivity results of the infant's cerebrospinal fluid are still pending. D) The infant is suspected of having an antibiotic-resistant infection.
Which initial nursing intervention should be planned for a newly admitted patient with acute mania?
a. Allow the patient to act out suppressed feelings because the environment is safe. b. Provide verbal instructions to the patient to remain calm and cooperative. c. Be accessible to set limits on the patient's behavior as necessary. d. Restrain the patient to reduce hyperactivity and aggression.
The nurse is caring for an older patient recently diagnosed with cancer. The nurse is concerned about the patient moving towards a trajectory of frailty. What laboratory findings support the nurse's concern?
1. Hemoglobin 12 g/dL 2. Hematocrit 40 g/dL 3. Serum albumin less than 2.5 g/100 dL 4. Serum albumin greater than 2.5 g/100 dL
Which laboratory result would the nurse expect in a patient with acute myelogenous leukemia (AML)?
A) Polycythemia B) Thrombocytosis C) Pancytopenia D) Hemoglobinemia