Outline the extrinsic and intrinsic factors of tissue tolerance that may have had significance for Mrs C during her stay in ICU
What will be an ideal response?
Suggested response: Extrinsic factors include moisture from the dressing, potential shear or friction from re-positioning. Intrinsic factors include oxygenation of peripheries while septic, skin temperature and chronic illness in the form of diabetes.
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During the initial assessment of a very thin patient at the eye clinic, the nurse notes that the patient has very prominent eyes. The nurse should inquire about a history of:
1. diabetes. 2. glomerulonephritis. 3. Graves' disease. 4. hypertension.
A patient who has a serum magnesium level of 1.4 mg/dL is being treated with dietary modification
Which foods should the nurse suggest for this patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Bananas 2. Seafood 3. White rice 4. Lean red meat 5. Chocolate
During a self-esteem assessment of a young woman undergoing a complicated divorce, a nurse states: "Tell me something about the moral–ethical principles that govern your life." What aspect of self-esteem is the nurse assessing?
A) significance B) virtue C) power D) competence
The nurse is caring for an unresponsive patient who has a nasogastric tube in place for continuous tube feedings. The nurse assesses the patient's oral hygiene because good oral hygiene
a. Helps prevent gingivitis. b. May cause glossitis. c. May lead to halitosis. d. Causes tongue coating.