The nurse documents that a patient has coarse, thickened skin and brown discoloration over the lower legs. Pulses are present. This finding is probably the result of:
a. Lymphedema.
b. Raynaud disease.
c. Chronic arterial insufficiency.
d. Chronic venous insufficiency.
ANS: D
Chronic venous insufficiency would exhibit firm brawny edema, coarse thickened skin, normal pulses, and brown discoloration
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You are the nurse caring for an unconscious trauma victim who needs emergency surgery. The patient is a 55-year-old man with an adult son
He is legally divorced and is planning to be remarried in a few weeks. His parents are at the hospital with the other family members. The physician has explained the need for surgery, the procedure to be done, and the risks to the children, the parents, and the fiancé. Who should be asked to sign the surgery consent form? A) The fiancé B) The son C) The physician, acting as a surrogate D) The patient's father
Which nursing action indicates that medication reconciliation for an older client is most complete?
1. All prescribed medications are accounted for in the medical record. 2. Medications were identified and compared with written orders. 3. Herbal supplements, vitamins, and medication were reviewed. 4. Medication reconciliation occurred prior to client transfer.
When teaching an older client prescribed darifenacin, the nurse recognizes that which of the following client comments indicate an understanding of the teaching?
a. "I may have to increase the dose of my glaucoma medication." b. "Thank goodness, this drug doesn't cause constipation." c. "This drug will not cause drowsiness." d. "I will take care not to get overheated when taking this drug."
Which of the following is a side effect of too low a level of potassium resulting in fatigue, muscle weakness, and cardiac changes such as disturbances in the electrical impulses that stimulate the heartbeat?
A. hypokalemia B. hyponatremia C. hypernatremia D. hyperkalemia