The nurse notes that an older patient is malnourished and has minimal subcutaneous tissue. Which functions of the subcutaneous tissue of the skin should the nurse consider as being potentially altered in this patient? (Select all that apply.)
a. Store energy
b. Cushion bones
c. Support hair growth
d. Provide nourishment to tissues
e. Provide insulation from the cold
f. Destroy pathogens that passed through broken skin
ANS: B, E, F
In the subcutaneous tissue are numerous white blood cells that destroy any pathogens that have entered by way of broken skin. Subcutaneous adipose tissue cushions some bones and provides some insulation from cold, but its most important function is energy storage. D. Excess nutrients are changed to triglyceride and stored as potential energy for times when food intake may decrease. C. Hair follicles are located in the dermis not in the subcutaneous tissue.
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Responding to a code called in the psychiatric unit where she works, a staff nurse finds that a patient has committed suicide. The staff nurse correctly identifies this as a:
a. benchmark incident. b. quality improvement issue. c. performance breach. d. sentinel event.
While reviewing the health history of an older adult experiencing hearing loss the nurse notes the patient has had no trauma or loss of balance. What aspect of this patient's health history is most likely to be linked to the patient's hearing deficit?
A) Recent completion of radiation therapy for treatment of thyroid cancer B) Routine use of quinine for management of leg cramps C) Allergy to hair coloring and hair spray D) Previous perforation of the eardrum
What information should the nurse provide to the client who asks about the use of a genetic test advertised on the Internet?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "Genetic testing is not available to the public, so those ads must be a hoax." 2. "There are concerns about how reliable these tests are and about the validity of the results." 3. "Genetic testing should include counseling or guidance about the results." 4. "These tests will be cost prohibitive for many years into the future." 5. "The test results are not very helpful if they aren't discussed in the context of your health history and other findings."
The student nurse is planning care for a patient with a recent spinal cord injury. Which intervention indicates the need for further instruction regarding care of the patient with a spinal cord injury?
a. Keep the halo jacket fastened unless the patient is in a supine position. b. Monitor the bladder every 4 hours for signs of bladder distention. c. Instruct unlicensed assistive personnel (UAP) to turn and reposition the patient every 2 hours. d. Assess compression stockings for proper fit.