When checking the patient's back, the nurse pushes her thumb into the patient's sacrum. An indentation remains. The nurse charts that the patient has
a. sacral compromise.
b. delayed skin turgor.
c. pitting edema.
d. dehydration.
C
Pitting edema occurs when an impression is left in the tissue when the thumb is removed. The dependent tissues within the legs and sacrum are particularly susceptible. Edema may be dependent, unilateral, or bilateral and pitting or nonpitting.
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After the pregnant woman is admitted to the labor suite, the nurse assesses the position of the infant as ROA; this means that the infant's head is _________ __________ _________
ANS:
Many conditions affect retinal circulation, such as diabetes mellitus, hypertension, drug toxicity, tumors, and AIDS
Indicate whether the statement is true or false
A nurse makes a visit to a home where there are a number of people. The client says that several people are in her family who are not related. The nurse should
a. Ask the client why they are living in her home. b. Ask each member to identify his or her health needs. c. Tell the client that these people are not considered family. d. Accept the client's definition of family.
The nursing instructor is discussing the role of the circulating nurse in the operative suite with the student nurses. What would the nursing instructor include as duties of the circulating nurse? Select all that apply
A) The circulating nurse is included in the responsibility of accounting for all sponges and instruments following the surgical procedure. B) The circulating nurse is responsible for preparing the surgical table for the procedure. C) The circulating nurse is responsible for assisting the surgeon with instruments during the procedure. D) The surgical nurse is responsible for maintaining the client's rights during the surgical procedure.