The nurse is assessing a patient who presents with a bruised ankle caused by an injury. When documenting this finding, which term is most appropriate for the nurse to use?
1) Petechiae
2) Ecchymosis
3) Purpura
4) Venous star
ANS: 2
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A patient is hospitalized with cryptococcal pneumonia and AIDS. What is the most important standard precaution for the health care team to implement?
a. Hands are washed before and after glov-ing. b. After gloves are put on, they do not need to be changed until care is finished. c. Needles and sharps should be placed in puncture-resistant containers on the medi-cine cart out of the room. d. Mouth-to-mouth resuscitation must be performed immediately unless the patient is a designated as "do not resuscitate."
A client has an abnormal Pap smear that is classified as ASC-US. Based on the nurse's understanding of this classification, the nurse would expect which of the following?
A) Immediate colposcopy B) Testing for HPV C) Repeat Pap smear in 4 to 6 months D) Cone biopsy
When transferring a person to or from the wheelchair:
a. The wheels must be locked b. The person needs to stand on the foot-plates c. The handgrips are held d. The person is given needed accessories
The nursing mother asks the nurse if it is all right to take St. John's wort for mild depression. What is the best response by the nurse?
1. "No, it will probably cause your baby to have more allergies." 2. "No, because it might decrease the amount of milk you produce." 3. "No, it could be excreted in your milk and affect the baby." 4. "No, it will affect the taste of your milk, and your baby might reject nursing."