Which assessment would lead the nurse to examine the leg closely for evidence of a stasis ulcer?

a. Cool dry lower limb
b. Edematous, red scaly skin on medial surface of the leg
c. Lack of hair and shiny appearance of the lower leg
d. Lack of a pedal pulse


ANS: B
Suggestion of a stasis ulcer in the making is an edematous, dry scaly area on the medial surface of the lower leg that has a darker pigmentation (rubor). Cool hairless limbs with absent or weak pedal pulses are indicative of arterial insufficiency.

Nursing

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A student nurse is caring for a patient who is covered by Medicaid. When speaking with the case manager about Medicaid, the case manager tells the student nurse that Medicaid

1. Offers the same benefits in every state. 2. Is funded by the city health department. 3. Is a county government matching funding program. 4. Offers assistance for poor and medically indigent individuals.

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Identify an important communication difference between men and women

a. Men have a larger and better-developed vocabulary at an earlier age than women. b. Women prefer the face-to-face communi-cation style. c. Men prefer close proximity when com-municating important information. d. Women tend to be more physical when communicating.

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A nurse, serving as a volunteer, was helping community residents who had been taken to an emergency shelter for food, clothes, and life necessities. Of the following families, which is in most need of receiving assistance from the nurse?

a. A woman who is visiting her father and sees the flood as helpful to finally convince her father to move in with her and her husband b. The couple who believe the flood is God's will and are attempting to determine its meaning for their life c. The man who cannot believe that everything important to him is now lost d. The man who believes the flood is a test of his faith but knows he will be alright

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What is the most appropriate statement for the nurse to make to a 5-year-old child who is undergoing a venipuncture?

a. "You must hold still or I'll have someone hold you down. This is not going to hurt." b. "This will hurt like a pinch. I'll get someone to help hold your arm still so it will be over fast and hurt less." c. "Be a big boy and hold still. This will be over in just a second." d. "I'm sending your mother out so she won't be scared. You are big, so hold still and this will be over soon."

Nursing