The skin over a Stage II pressure ulcer is
A. deeply eroded.
B. blistered or superficially broken.
C. blue in color.
D. intact but discolored.
Answer: B
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A 22-year-old man comes to the clinic for an examination after falling off his motorcycle and landing on his left side on the handle bars. The nurse suspects that he may have injured his spleen
Which of these statements is true regarding assessment of the spleen in this situation? a. The spleen can be enlarged as a result of trauma. b. The spleen is normally felt on routine palpation. c. If an enlarged spleen is noted, then the nurse should thoroughly palpate to determine its size. d. An enlarged spleen should not be palpated because it can easily rupture.
The patient is brought to the emergency department in respiratory arrest after overdosing on heroin. The person accompanying the patient says he has been using heroin for years
After being administered one dose of a narcotic antagonist, the patient begins to breathe spontaneously but remains nonresponsive to stimuli so another dose of narcotic antagonist is ordered. What symptoms would indicate the patient is experiencing acute narcotic abstinence syndrome? (Select all that apply.) A) Tachycardia B) Hypertension C) Vomiting D) Confusion E) Sedation
A nurse is working at a suicide prevention hotline and is training new staff members. He or she informs the new nurses that the most important questions to ask callers include
A. Whether they have a means or a plan to commit suicide, including whether they have access to a weapon, such as a gun B. If they have been diagnosed with a mental illness C. If they suffer from addiction D. None of the above
The nurse is reinforcing teaching of the most serious side effect of peritoneal dialysis. Which of these, if stated by a patient, indicates correct understanding?
a. "Cramps in the abdomen." b. "Paralytic ileus." c. "Peritonitis." d. "Respiratory distress."