For which patient does the nurse add compression therapy to the nursing care plan?
a. Taut, white, shiny skin
b. Faint pedal pulses
c. Brownish skin and edema
d. Large ulcer with skin graft
C
Compression is the mainstay of venous ulcer treatment, and it should be applied when there is brownish skin and edema. The taut white shiny skin and faint pulses indicate arterial insuffi-ciency, and compression will compromise circulation in those extremities even further. A skin graft needs to be protected, as it is vulnerable until healed.
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What factor or condition in the client who has joint stiffness and pain is more associated with progressive systemic sclerosis than with rheumatoid arthritis?
A. The client is female. B. The pain is worse in the morning. C. The client has never been pregnant. D. The fingers are sausage-like, with nonpitting edema.
A patient diagnosed with heart failure asks the nurse if the problem is in the right or left side of the heart. Which symptom would indicate to the nurse that left-sided heart failure is occurring?
1. Elevated neck veins 2. Respiration of 36 per minute 3. Dependent edema 4. Right upper quadrant pain
A nurse is presenting information to the county health department about potential bioterrorism threats. Which of the following agents would the nurse discuss in this presentation?
a. Smallpox b. West Nile Virus c. Severe acute respiratory syndrome (SARS) d. Novel influenza A (H1N1)
Nursing diagnoses that require physician-prescribed and nurse-prescribed actions would be what type of problems?
A) Independent health problems B) Collaborative health problems C) Physician-developed problems D) Interdisciplinary health problems