The nurse has staged a pressure ulcer that has a shallow crater with a dry pink wound bed as a:
a. stage I
b. stage II
c. stage III
d. stage IV
ANS: B
Stage II pressure ulcers have a shallow crater with a dry pink wound bed without slough.
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The client is 6 years old and flies into a temper tantrum every time his mother leaves. If he suspects she is about to leave, he develops a headache and upset stomach. He is experiencing
1. separation anxiety. 2. generalized anxiety. 3. overanxious disorder. 4. OCD.
The nurse is assisting a client with values clarification. In which order should the nurse suggest that the client complete the steps in this process?
1. Choose freely 2. List alternatives 3. Act on the choice 4. Affirm the choice 5. Act with a pattern 6. Feed good about the choice 7. Examine consequences of choices
Appropriate bag-mask ventilation for an apneic 3-year-old child involves:
A) ensuring a consistently delivered tidal volume of 400 mL. B) providing hyperventilation to ensure carbon dioxide elimination. C) hyperextending the head to ensure an adequate mask-to-face seal. D) delivering each breath over 1 second until the chest rises visibly.
The nurse is assessing a 6-month-old healthy infant who weighed 7 pounds at birth. The nurse should expect the infant to now weigh approximately:
a. 10 pounds. c. 20 pounds. b. 15 pounds. d. 25 pounds.