The nurse is examining the breasts of a woman with Paget disease. Which of the following would the nurse expect to find?
A) Orange-peel skin
B) Nipple retraction
C) Dark, pink areola
D) Red, scaly, crusty areas
D
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Procedural pain control is best achieved with the use of what strategies during the early phase (first 24–48 hours) of recovery in the patient with a major burn injury?
a. Opioids alone b. Intravenous opioids used in combination with oral antidepressants c. Opioids (oral or intravenous) and guided imagery d. Small doses of intravenous opioids titrated to effect
Which assessment finding is most important in determining nursing care for a client with diabetes mellitus?
A) Respirations of 12 breaths/minute B) Cloudy urine C) Blood sugar 170 mg/dL D) Fruity breath
An elderly client, who can void only while standing and pushing upward on the vagina, is ordered a pessary. Which comment from the client indicates a need for further teaching about this device?
A) "I will remove and clean it every day." B) "I will report any signs of irritation or bleeding." C) "I should have greater ease of emptying my bladder." D) "I should report any foul odor or drainage."
The nurse explains that a patient who has been determined to have had a complete stroke as a result of a ruptured vessel in the left hemisphere would be classified as:
1. ischemic, embolic. 2. hemorrhagic, subarachnoid. 3. hemorrhagic, intracerebral. 4. ischemic, thrombotic.