A patient with several burn scars tells the nurse that the scars are prone to injury and don't seem as tough as the rest of his skin. Which nursing response is indicated?
1. "Even when healed, the scar will only regain about 80% of the strength of normal skin."
2. "Your body is still making new blood vessels for the wound."
3. "Your body is trying to remove additional bacteria from the wound area."
4. "Your healing process hasn't been completed."
Answer: 1
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During dehydration, when serum osmolarity rises, the osmoreceptors in the hypothalamus respond by stimulating the hypothalamus to
A) secrete ADH. B) reabsorb sodium. C) secrete erythropoietin. D) release angiotensin I.
The nurse who is assessing the point of maximum impulse (PMI) will best palpate the PMI where?
A) Left midclavicular line of the chest wall at the seventh intercostal space B) Left midclavicular line of the chest wall at the fifth intercostal space C) Right midclavicular line of the chest wall at the seventh intercostal space D) Right midclavicular line of the chest wall at the fifth intercostal space
A client reports to the primary health care facility with complaints of chest pain. After the investigations and initial treatment, the client anxiously inquires if he had a heart attack. What should be the nurse's reply?
A) "The physician wants to monitor you and control your pain." B) "Yes, you had a heart attack; this is why you are here with us." C) "Yes, you had a heart attack, but the damage is very minimal." D) "No; we can assure you that you will not have a heart attack."
After teaching a group of parents about ear infections in children, which statement indicates that the teaching was successful?
A) Infants with congenital deformities are at greater risk for ear infections. B) Ear infections increase as the child gets older. C) An infant's Eustachian tubes are shorter and wider, increasing the risk. D) The fact that adenoids shrink as the child grows will allow more bacteria to enter.