The client's wound has purulent exudate. The nurse knows this exudate occurs when the client has:
a. mild inflammation.
b. severe inflammation.
c. severe inflammation accompanied by infection.
d. minimal capillary damage.
ANS: C
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The hospital nurse cares for many patients who have hypertension. What nursing diagnosis is most common among patients who are being treated for this health problem?
A) Deficient knowledge regarding the lifestyle modifications for management of hypertension B) Noncompliance with therapeutic regimen related to adverse effects of prescribed therapy C) Deficient knowledge regarding BP monitoring D) Noncompliance with treatment regimen related to medication costs
A nurse is providing discharge instructions to a client with iron deficiency anemia who is experiencing glossitis. Which statements will the nurse include in the discharge teaching for this client?
Select all that apply. A) Monitor the condition of the lips and tongue daily. B) Use an alcohol-based mouthwash every 2-4 hours. C) Provide frequent oral hygiene. D) Apply a non-petroleum-based lubricating jelly or ointment to the lips after oral care. E) Use a soft toothbrush or sponge to provide oral care.
Using the Curreri formula to compute daily caloric needs of a 200-pound client with a 20% burn, the nurse-practitioner would compute the client's daily caloric needs to be
a. 2272. b. 2580. c. 2872. d. 3072.
The nurse is working with the family of a baby born with a cleft lip and cleft palate. The family has shown a lot of negative feelings toward the baby and seems preoccupied with the baby's appearance
Which of the following actions by the nurse would be best? a. Provide support, model accepting behaviors, and encourage touching and holding. b. Tell the family that this is a time then they must stand strong and help their baby. c. Suggest that there have been worse cases than this one, which is not all that bad. d. Ask the family to think about the fact that at least they have a baby even if it is not perfect.