The nurse is assessing a wound that involves the epidermis and part of the dermis. This is classified as what type of wound?
a. superficial c. partial thickness
b. deep superficial d. full thickness
C
Partial thickness wounds involve partial loss of the skin layers but do not involve the deeper tissues. Full thickness wounds involve total loss of the epidermis and the dermis with extension into the subcutaneous tissue and possibly the muscle.
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A student nurse had long been in the habit of wearing perfume, but has stopped doing so since she began her nursing program. The student most likely took this action because
A) patients and clients may not share the student's preferences in her choice of perfume. B) some individuals are allergic to scents and they can trigger an unpleasant or dangerous reaction. C) different cultures have different ideas about the ideal smell of an individual. D) uniformity is a professional goal, and each student nurse should dress similar and smell similar.
A 66-year-old female patient has presented to the emergency department because of several months of intermittently bloody stool that has recently become worse
The woman has since been diagnosed with a gastrointestinal bleed secondary to overuse of nonsteroidal anti-inflammatory drugs that she takes for her arthritis. The health care team would realize that which of the following situations is most likely to occur? A) The woman has depleted blood volume due to her ongoing blood loss. B) She will have iron deficiency anemia due to depletion of iron stores. C) The patient will be at risk for cardiovascular collapse or shock. D) She will have delayed reticulocyte release.
The family of an older patient asks the nurse if the patient qualifies for Medicaid to help with hospital bills. What information should the nurse provide to the family?
1. Eligibility for Medicaid is based upon income, not age. 2. Medicaid is available to individuals once they reach the age of 65. 3. Medicaid is intended to assist low-income individuals over the age of 65. 4. Older adults are eligible for Medicaid if they are planning to enter a long-term care facility.
Which would be a priority nursing diagnosis for the child with chronic illness?
a. Risk for delayed development related to chronic illness or disability b. Chronic pain related to frequent injections c. Anticipatory grieving related to impending death d. Anxiety related to frequent hospitalizations