When performing an assessment on a patient who is admitted with unstable angina, the nurse notes that the patient's nail beds and lips have a bluish tinge. The nurse would chart this as:
A) Central cyanosis
B) Pallor
C) Ecchymosis
D) Peripheral cyanosis
Ans: D
Feedback: Peripheral cyanosis occurs in the nails, lips, earlobes, and extremities. Central cyanosis occurs in the tongue and buccal mucosa. Pallor is a decrease in the color of the skin. Ecchymosis is bruising.
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The nurse is providing care for a hospice client who is in the last stages of the dying process. The client develops a pressure ulcer on her sacrum, and family members tell the nurse that they would like a specialist consulted to treat the ulcer
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The nurse is providing postoperative care for a 14-month-old girl who has undergone a myelomeningocele repair. The girl's mother is extremely anxious and tells the nurse she is afraid she will never learn how to care for her daughter at home
Which response by the nurse would be most appropriate? A) "I will help you become comfortable in caring for your daughter.". B) "You must learn how to care for your daughter at home.". C) "You will need to learn to collaborate with all the caregivers.". D) "There is a lot to learn, and you need a positive attitude.".
A client is to have an echocardiogram. Which statement by the client indicates the teaching about the test has been effective?
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