The nurse is instructing a patient relative to the characteristics of a stage I pressure ulcer, which are (select all that apply):
1. the area is regular and well defined.
2. the presence of tissue hardening.
3. swelling at the site.
4. the condition is reversible.
5. nonblanching erythema.
2, 3, 4, 5
A stage I ulcer has irregular and poorly defined margins, with swelling and hardening at the site of the nonblanching erythema. At this stage, the ulcer is reversible.
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The nurse wants to ensure that assigned patients are comfortable. What will the nurse use as a measurement of comfort?
A) A state of physical, emotional, and spiritual well-being B) An absence of reports, signs, or symptoms of physical pain C) A transcendent emotional and spiritual state that exists regardless of the presence or absence of pain D) A condition of maintaining a patient's self-report of pain being below a self-reported threshold of 1 out of 10
A client is complaining of burning and itching of the nipple of the left breast. The nurse should ask the client whether there is any crusting on the breast, and inspect the breast and surrounding area for:
1. a lump under the arm. 2. ulceration near the nipple. 3. edema of the breast. 4. pathological fractures.
Which person best meets the criteria as a "member of a protected class" in a quid pro quo sexual harassment lawsuit?
1. A male housekeeper as compared to a male laboratory technician 2. A female nurse as compared to a male staff nurse 3. A staff nurse as compared to his or her supervisor 4. A female physician as compared to a male physician
Height = 48 in.; weight = 80 lb. Calculate the BSA: ________. (Round to the nearest hundredth)
Fill in the blank(s) with the appropriate word(s).