Skin turgor checks are performed to determine the:
a. temperature of the skin.
b. hydration status.
c. actual age.
d. extent of an ecchymosis.
B
Skin will remain tented if the patient is dehydrated or will not tent if edema is present.
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A 60-year-old woman who is 11 years menopausal has presented to the emergency department stating, "I haven't had my period in years, but lately I've been bleeding again, and quite heavily in the last few days." The care team needs to rule out endometrial cancer. How should they best explain the most accurate plan for confirming or ruling out the diagnosis?
A) "We're going to book a CT scan for you as soon as possible so that we can see what is inside your uterus." B) "We're going to have to open your cervix with a speculum and take scrapings from the wall of your uterus." C) "We are going to order blood work that will measure your hormone levels." D) "We can do a Pap smear right now, and we will get the results as soon as we can."
The nurse that lives in a predominantly Spanish-speaking community is learning to speak Spanish. Which describes the best use of learning Spanish?
1. The nurse will be able to communicate better with the clients' families. 2. Speaking a second language will facilitate the professional growth of the nurse. 3. A second language will help when communicating with others in the community. 4. The nurse can gain a great deal of personal accomplishment after learning a second language.
A healthy 18-year-old client who is at 40 weeks' gestation experiences vaginal expulsion of stringy mucus followed by blood-tinged secretions unaccompanied by discomfort or any other changes
Based upon these findings, what is most likely to occur within the next 24 to 48 hours? 1. Onset of labor 2. Cesarean section 3. Chorioamnionitis 4. Spontaneous abortion
What does the nurse teach the patient and caregiver to do when setting up and changing administration sets for continuous tube feedings to preserve medical asepsis?
a. Add formula to formula already hung to prevent waste. b. Store unused formula at room temperature to prevent spasm. c. Hang only enough formula that will be infused in a 4- to 6-hour period. d. Change the administration set every 48 hours.