You have just completed a home visit on a 12-year-old quadriplegic girl. The patient was admitted with pressure ulcers to bilateral ankles
You evaluate the pressure ulcers have healed when there is no evidence of which of the following? Select all that apply. A. Redness
B. Pallor
C. Moisture
D. Blisters
A, B
Damage of superficial skin layers is indicative of injury. Blisters suggest the top layer of skin is pulled or rubbed.
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After discontinuing a nontunneled, percutaneous central catheter, it is most important for the nurse to record which information?
a. Application of a sterile dressing b. Length of the catheter c. Occurrence of venospasms d. Type of ointment used to seal the tract
The clinic nurse knows that health promotion can include:
Select all answers that apply: A) A shared understanding of the health threat B) A shared vision about hope for the future C) A shared meaning about the timing of the illness D) A shared confusion about why the illness happened
A child with nephritic syndrome has been placed on prednisone. The nurse plans to teach the family to administer this drug:
1. Daily for six weeks and then alternate-day doses for six weeks. 2. Daily for one week and then alternate-day doses for one week 3. On a short-burst schedule. 4. Infrequently and only as needed.
Which client statement regarding sexuality in older adults should a nurse acknowledge as accurate?
A) "Fewer than 10 percent report having sex once per week." B) "Nearly half of men older than the age of 65 report sexual dysfunction." C) "Most report significantly decreased interest in or desire for intimacy." D) "Regular, frequent sexual activity results in improved capacity for sexual performance in women."