An older patient with peripheral-vascular disease reports foot pain. Which color does the nurse expect when inspecting the patient's feet?
1) Pink
2) Red
3) Yellow
4) Blue
ANS: 4
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According to Centers for Disease Control and Prevention (CDC) guidelines, IV solutions must be changed every 24 hours and IV catheters must be changed every:
a. 12 hours c. 48 to 72 hours b. 24 hours d. 3 days
A nurse is assessing an older adult's risk for falls. One of the questions that she asks is whether the older adult has fallen in the past year. She asks this because individuals who have fallen:
a. have a higher risk of falling again than persons who did not fall in the past year. b. are more likely to sustain injuries if they fall again than persons who did not fall in the past year. c. have most likely developed a fear of fall-ing as compared to persons who did not fall in the past year. d. are most likely to have a balance disorder as compared to persons who did not fall in the past year.
A child has experienced a sprain of the right ankle. The school nurse should
1. apply ice to the extremity. 2. apply a warm moist pack to theextremity. 3. perform passive range of motion tothe extremity. 4. lower the extremity to below thelevel of the heart.
The nurse is caring for a child with acute glomerulonephritis. Which manifestations would the nurse most likely assess in this child?
A) Loose, dark stools B) Smoky-colored urine C) Strawberry red tongue D) Jaundiced skin