What medical outcomes are directly associated with a nursing observation made during an integumentary systems assessment? Select all that apply.
A. the loss of skin turgor as a result of aging
B. a cancerous skin lesion located on the back
C. presence of a systemic disease like measles
D. a rash triggered by taking the medication ibuprofen
E. a reddened area on the heel that indicates a potential risk for pressure ulcer formation
Answer:
B. a cancerous skin lesion located on the back
C. presence of a systemic disease like measles
D. a rash triggered by taking the medication ibuprofen
E. a reddened area on the heel that indicates a potential risk for pressure ulcer formation
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The nurse is concerned that an older adult client with heart failure is developing pulmonary edema. What manifestation alerts the nurse to further assess the client for this complication?
a. Confusion b. Dysphagia c. Sacral edema d. Irregular heart rate
You are providing circumcision care. Which is correct?
a. Clean the penis once per day. b. Use cool water or alcohol pads. c. Apply petrolatum gauze or petrolatum jel-ly to the penis as directed by the nurse. d. Apply the diaper tightly.
A patient has a problem that prevents him from shaving himself, tying his shoes, or fixing his meals. He is not physically able to compensate for the problem, so he is in need of assistance
Data support the nursing diagnosis "impaired physical mobility" by what mode of reasoning? a. Induction b. Deduction c. Reduction d. Reflection
Based on Jean Miller's theoretic framework for community mental health, which of the following is a cost-effective function for nurses with advanced degrees?
A) Health teaching and medication administration B) Primary nursing, psychiatric home care, and case management C) Client education about his or her psychotropic medication D) Nurse therapist using individual, group, and family techniques