Ginger, a 26-year-old, is admitted to the burn unit with second- and third-degree burns on her trunk and neck. The nurse writes a nursing diagnosis of "Risk for Infection" based upon the knowledge that the patient has a/an
A) impaired mononuclear phagocyte system.
B) interruption of physical barriers.
C) impaired cell-mediated response.
D) complement system deficiencies.
B
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A patient has been having increased bilateral leg cramps for a few weeks. The health care provider has diagnosed her with peripheral vascular disease (PVD)
In caring for this patient, you would expect her to be started on a vasodilator drug that would: 1. decrease arterial blood flow, allowing more blood to reach the vessels. 2. open arteries by relaxing smooth muscle, allowing more blood to reach the vessels. 3. block closed vessels, allowing collateral circulation to other vessels. 4. slow venous circulation, allowing arterial blood to flow more easily to vessels.
The nurse is conducting an admission assessment for a newborn client. Which physical findings suggest the newborn is preterm? Select all that apply
1. The ear pinna quickly returns to original position after being bent manually. 2. The infant's resting position is tightly flexed. 3. Labia are widely separated with clitoris prominent. 4. Breast area is barely perceptible with flat areola, no bud. 5. Sole creases do not extend the length of the foot.
The client questions the nurse about the best manner to clean the ears. What should be included in the information provided to the client?
A) Use a toothpick wrapped in several folds of tissue. B) Use a long-tip syringe to irrigate with peroxide. C) Use a cotton swab and pull the pinna upward, then cleanse the ear. D) Use the twisted end of a clean washcloth and pull auricle down.
A client is having surgery tomorrow and the nurse is discussing the plan of care for surgery. Which statement by the client indicates understanding of the preoperative teaching?
1. "I will probably feel pain during the procedure." 2. "I won't feel a thing because I will be asleep." 3. "I will lose consciousness, movement, and memory." 4. "I will retain all memory of my procedure."