A client is visiting an urgent care center after being hit in the back with a baseball. Upon examination, the nurse notes a flat, non-blanchable spot that is 0.3 cm wide and is reddish-purple in color. The nurse documents this lesion as:
a. An angioma.
b. Purpura.
c. Petechiae.
d. Ecchymosis.
ANS: B
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The nurse notifies the primary care provider that the patient is experiencing pain. The provider gives the nurse a telephone prescription for morphine 4 mg intravenously every hour as needed for pain. How should the nurse document this telephone order?
a. 09/02/16 0845 morphine 4 mg intravenously q 1 hour prn pain. Kay Andrews, RN b. 09/02/16 0845 morphine 4 mg intravenously q 1 hour prn pain T.O.: Dr. D. Kelly/Kay Andrews, RN c. 09/02/16 0845 morphine 4 mg intravenously q 1 hour prn pain V.O.: Dr. D. Kelly/Kay Andrews, RN d. 09/02/16 0845 morphine 4 mg intravenously q 1 hour V.O. Kay Andrews, RN
For the client prescribed neostigmine bromide, the nurse should be alert for which of the following when caring for this client?
a. anticholinergic crisis c. ergotamine reaction b. myasthenia crisis d. cholinergic crisis
When communicating with a patient with a cognitive deficit, what is the best way for the nurse to respond?
a. "You managed all of your medications very well today." b. "Your family should really take over the cooking. It's too hard for you to do." c. "I don't see how you will be able to shop for yourself anymore. Someone will have to do it for you." d. "This schedule will be too difficult for you to remember. I better write it all down."
You note the following while bathing a resident. Which of the following would you need to re-port?
a. Moist skin b. Soft feet and ankles c. A bruise on the person's right thigh d. Areas of intact skin