The nurse assesses a client's wound to involve the epidermis and part of the dermis. The nurse would document this wound as being:

a. superficial. c. partial thickness.
b. deep superficial. d. full thickness.


ANS: C

Nursing

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Define the term ‘IV push'

What will be an ideal response?

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The nurse should expect to observe which behavior in a patient with posttraumatic stress disorder?

A) Normal memory recall B) Hyporeflexia C) Euphoria D) Hypervigilance

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A number of changes in the integumentary system occur during pregnancy. Which of the following changes will persist after birth?

1. Epulis 2. Chloasma 3. Telangiectasia 4. Striae gravidarum

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Upon assessment, the patient is breathing normally and has normal vesicular lung sounds. Which expected inspiratory-to-expiratory breath sounds will the nurse hear?

a. The expiration phase is longer than the inspiration phase. b. The inspiratory phase lasts exactly as long as the expiratory phase. c. The expiration phase is 2 times longer than the inspiration phase. d. The inspiratory phase is 3 times longer than the expiratory phase.

Nursing