The nurse is performing an assessment of a newly admitted patient. During the skin integrity assessment, the nurse notices an area on the right heel that is black and draining purulent, foul-smelling exudates
The nurse should document this as a pressure ulcer in: 1. stage I.
2. stage II.
3. stage III.
4. stage IV.
4
In a stage IV pressure ulcer, there is full-thickness skin loss with extensive destruction of the deeper underlying muscle and possibly the bone tissue.
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The nursing instructor is discussing absence seizures and how to treat them in children. A student asks the difference between ethosuximide and methsuximide, the drugs used to control absence seizures. What is the instructor's best response?
A) "Ethosuximide has more severe adverse effects than methsuximide." B) "Seizures are more refractory to methsuximide." C) "There is no real difference in the drugs." D) "Methsuximide has more severe adverse effects than ethosuximide."
One of the nurse's older adult patients is abusing laxatives. Which would be an appropriate intervention for this patient to help reduce this chronic laxative use and dependency?
a. Advise the patient to take a laxative once weekly. b. Stop the patient from taking any laxatives. c. Have the patient take an enema instead of a laxative. d. Have the patient drink 6 to 8 glasses of water each day.
The nurse has come across an electrical fire on the unit. After activating the RACE system, which fire extinguisher should be located for this fire?
A) Type A B) Type B C) Type C D) Type D
The nurse is reviewing the records of a client with chronic bronchitis. Which assessment finding should the nurse anticipate?
A. Dry cough. B. Decreased respiratory rate. C. Fever. D. Use of accessory muscles.