A nurse assesses an area of sustained redness on the coccyx area of a resident in long-term care. What is the most likely cause of this pressure area?
a. Heat from pressure
b. Collapse of blood vessels
c. Friction from pressure
d. Collapse of skin tissue
ANS: B
A pressure ulcer occurs when there is sufficient pressure to collapse the blood vessels.
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A relatively new emerging role that allows the nurse a unique opportunity to offer novel treatment approaches to patients who may have otherwise reached a dead end in their treatment course is known as which of the following?
a. Legal Nurse Consultant c. Clinical Nurse Specialist b. Clinical Research Nurse d. Nurse Entrepreneur
The nurse is caring for a child who experiences an anaphylactic-shock reaction. The nurse should place the child in
1. Trendelenburg position. 2. high Fowler's position. 3. reverse Trendelenburg position. 4. flat,with legs slightly elevated.
The adult child of a patient diagnosed with major depression asks, "Do you think depression and physical illness are connected? Since my father's death, my mother has had shingles and the flu, but she's usually not one who gets sick." Which answer by the nurse best reflects current knowledge about psychoneuroimmunology?
a. "It is probably a coincidence. Emotions and physical responses travel on different tracts of the nervous system."
b. "You may be paying more attention to your mother since your father died and noticing more things such as minor illnesses."
c. "So far, research on emotions or stress and becoming ill more easily is unclear. We do not know for sure if there is a link."
d. "Negative emotions and stress may interfere with the body's ability to protect itself and can increase the likelihood of infection."
The patient has a care plan that describes responses to a specific behavior. You should
A) implement the approaches listed when the behavior is out of control. B) inform the nurse that the patient is acting up and ask him to initiate the plan. C) implement the approaches listed as soon as the behavior begins. D) communicate the problem to other team members and get their advice.