The nurse notices small purplish dots on the abdomen of a patient. Which statement should the nurse use to document the finding?
a. "Diffuse erythema of the abdomen."
b. "Purpura scattered across abdomen."
c. "Scattered ecchymoses noted on abdomen."
d. "Multiple petechiae noted across the abdomen."
ANS: D
Petechiae are small reddish purple hemorrhagic spots, smaller than 0.5 mm in diameter. C. Ecchymosis is bruising. A. Erythema is redness. B. Purpura is bleeding into the skin.
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Which theory or concept does a psychiatric nurse consider to be most closely aligned with Erikson's developmental theory?
1. Freud's psychosexual stages 2. Freud's behaviorist concepts 3. Sullivan's stages of interpersonal development 4. Maslow's theory of self-actualization and hierarchy of needs
A client who has an indwelling urinary catheter develops increased sediment in the drainage tubing, and a catheter irrigation is prescribed
Before the irrigating solution is introduced into the catheter, the nurse must FIRST do which of the following actions? a. Insert the tip of the irrigating syringe into the catheter; then fill it with 60 cc of solution. b. Disinfect the connection between the catheter and drainage tubing before separating them. c. Separate the catheter and drainage tubing, and let the catheter drain to empty the bladder. d. Remove the current catheter; then reinsert another catheter before starting the procedure.
A group of staff nurses working on the hospice unit have notoriously been opposed to technology use. They assert technology is not essential for the care of people who are actively dying and have decided not to participate in the training process. What can be done by committee members to decrease resistance in this setting?
A) Data can be collected and stored electronically to develop evidence-based practice models that would be useful in alleviating the suffering of the dying. B) Have the head nurse document the resistance in each person's file. C) Have the director of human resources attend the next staff meeting to review position descriptions. D) Terminate staff that refuse to participate in training.
A mother asks why her 6-year-old requires the daily dose of digoxin to be twice that of an adult. The nurse explains that children have:
1. greater resistance to medications. 2. variations in development of drug receptors. 3. a slower metabolic rate than adults. 4. more total body water, which dilutes the drug.