The nurse notes a venous ulcer on the client's left ankle. What additional assessment finding does the nurse expect in this client?
a. Absence of hair on the left lower extremity
b. Skin surrounding the ulcer mottled but blanchable
c. Brownish discoloration of the lower extremity
d. Cold and gray-blue lower extremity
C
Venous ulcers are characterized by brown pigmentation of the skin of the lower extremity. Mottled skin, the presence of dependent rubor, and cyanosis are features of arterial ulcers.
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A 77-year-old woman who experiences significant anxiety has been taking diazepam for several months
She was brought to the clinical earlier this week by her daughter, who stated that her mother had been behaving in an uncharacteristically confused manner. The clinician discontinued the patient's diazepam. Three days later, the daughter states that her mother has still been having problems with impaired memory and confusion. The nurse should consider what possible explanation for the patient's current status? A) Benzodiazepines can occasionally cause permanent alterations in personality and level of consciousness. B) The patient may have decreased liver function. C) The patient may have been experiencing a hypersensitivity to the drug, rather than an adverse effect. D) The adverse effects of benzodiazepines can persist for several days after stopping the drug.
Which of the following is a characteristic of a postterm infant who weighs 7 lb, 12 oz?
a. A hematocrit level of 55% b. Soft and supple skin c. Lack of subcutaneous fat d. An abundance of vernix caseosa
When assisting the health care provider to perform a lumbar puncture, the nurse would place the client in which position?
a. dorsal recumbent c. prone b. lithotomy d. side-lying, knee-chest
Therapeutic use of self involves
a. forming a relationship based on the nurse's knowledge, attitudes, and skills to communicate effectively. b. providing a safe environment based on the use of environmental manipulation and verbal limit setting. c. evaluation of nurse-patient interactions and the creation of social alliances. d. determining whether it is necessary to listen to the patient and provide feedback.