When the nurse discovers a reddened area over a patient's hip, the first intervention should be to:
a. cover the area with an occlusive dressing.
b. apply mild ointment with a cotton-tipped applicator.
c. press the area gently to assess for blanching.
d. rub gently to increase circulation.
C
If the area is a stage one decubitus, the area will not blanch.
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A nurse is completing a client's initial admission database by asking the client questions about his past and current state of health, family history, and physical exam. These actions are part of which step of the nursing process?
a. assessment c. evaluation b. diagnosis d. planning
You see a school-aged child in an ambulatory setting because of rheumatic fever. Which of the following would you expect to find revealed by the health history?
A) Knee pain, abdominal rash, subcutaneous nodules B) An elevated temperature, back pain, loss of hair C) Fatigue, slow pulse, frequent urination D) Loss of weight, abdominal pain, chest pain
When should nursing assistants perform hand hygiene?
A. After handling a patient's personal belongings B. After handling soiled linens C. Before giving patient care or performing any procedure D. All of these times
While giving a history, a male patient describes several events out of order that occurred in different decades in his life. What technique does the nurse use to understand the timeline of these events?
a. State the order of events as understood and ask the patient to verify the order. b. Draw conclusions about the order of events from data given. c. Ask the patient to elaborate about these events. d. Ask the patient to repeat what he said about these events.