The home care nurse is visiting an older adult client who has diabetes and "skinned his shin" yesterday. An intact scab is seen over the abrasion, and the skin around it is red, warm, and hard. Which is the nurse's best action?
a. Teaching the client how to apply cold compresses to the area
b. Lifting an area of scab to see whether any exudate can be expressed
c. Measuring the length and width of the red area
d. Calling the health care provider for a pre-scription to treat cellulitis
D
The clinical manifestations indicate cellulitis, a bacterial tissue infection that can spread rapidly and deeply, especially in a client who has diabetes. Cold compresses would not be effective in allowing the lesion to heal.
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A client with chronic anemia has had many blood transfusions. What medications does the nurse anticipate teaching the client about adding to the regimen? (Select all that apply.)
a. Azacitidine (Vidaza) b. Darbepoetin alfa (Aranesp) c. Decitabine (Dacogen) d. Epoetin alfa (Epogen) e. Methylprednisolone (Solu-Medrol)
A school nurse assesses a child who has an erythematous circular patch of vesicles on her scalp with alopecia and complains of pain and pruritus. Why would the nurse use a Woods lamp?
a. To dry out the lesions b. To reduce the pruritus c. To kill the fungus d. To cause fluorescence of the infected hairs
In historical research, how does the literature review fit into the study?
a. Literature more than 5 years old has to be examined closely for its place in the study. b. Literature searches provide information on what data are needed. c. The literature review is the most important portion of the study. d. The researcher uses the literature review to select and define the research topic.
The nurse has admitted a client who was brought to the hospital after a narcotic overdose. What acid–base imbalance does the nurse expect to observe in this client?
1. Respiratory acidosis 2. Respiratory alkalosis 3. Metabolic acidosis 4. Metabolic alkalosis