Tangential lighting is best used for inspecting skin:
a. color.
b. contour.
c. exudates.
d. symmetry.
B
Tangential lighting—light shined laterally to the surface—is best for inspecting skin contour.
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Which nursing interventions would be appropriate after a wound evisceration?
a. Place the patient in high Fowler's position. b. Give the patient fluids to prevent shock. c. Replace the dressing with sterile fluffy pads. d. Apply a warm, moist normal saline sterile dressing.
The nurse is observing several patients who are in the activity room of the inpatient psychiatric facility. The nurse notices that one of the patients begins to get upset, raising her voice, pacing the room, and standing with clenched fists
What is the nurse's priority action? 1. Reorient the patient to person, place, and time. 2. Remove other patients from the room to provide more space. 3. Call the health care provider to obtain an order for anti-anxiety medication. 4. Call security and promptly isolate the patient and apply physical restraints.
When a nurse is counseling a woman for primary dysmenorrhea, which nonpharmacologic intervention would most likely be recommended?
a. Increasing the intake of red meat and simple carbohydrates b. Reducing the intake of diuretic foods such as peaches and asparagus c. Temporarily substituting physical activity for a sedentary lifestyle d. Using a heating pad on the abdomen to relieve cramping
Teams are groups who must work cooperatively to achieve a goal. Which of the following would be considered part of a team on a typical nursing unit? Select all that apply
a. Staff nurse b. UAP c. Case manager d. Pharmacist e. Unit secretary f. Admission clerk