A client has an injury to the right ankle. On assessment, the nurse notes that it is red and inflamed. The nurse adds interventions to the care plan that address which factor?
a. An injury that is infected
b. Inflammation without infection
c. A secondary infection
d. Dermatitis around the ankle
B
Inflammation can occur without infection. A joint sprain or injury can cause inflammation of the joint. The nurse should not assume that there is an infection just because inflammation is evident.
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A nurse is administering an opioid analgesic to a client with severe chronic pain. The nurse understands that the rate of tolerance to an opioid analgesic's effects varies from client to client
The nurse identifies which of the following as affecting the rate at which tolerance develops? Select all that apply. A) Body weight B) Gender C) Dosage D) Route of administration E) Age
The ANA Position Statement on Assisted Suicide clearly states that nursing participation in assisted suicide is a violation of the Code for Nurses. What does the Position Statement further stress?
A) Contributing to the creation of environments for care that honor the patient's desire to die B) Identifying patient and family concerns and fears C) Identifying resources that meet the patient's desire to die D) Supporting effective means to honor the patient's desire to die
The nurse suspects that another health care colleague may be chemically dependent when which of the following is assessed? (Select all that apply.)
1. Prolonged work "breaks" 2. Clinical care omissions 3. Mood stability 4. Extraordinary accomplishments 5. Heavy use of fragrances 6. Inability to recall recent events
The Tanner stages are a rating for which of the following in females?
a. sequence of secondary sexual characteristics with stages describing breast and pubic hair growth b. ability to be independent of caregivers and care for oneself while living alone c. readiness for marriage or mating and readiness for childbearing activities, with a scoring of 1 to 100 d. sequence of emotional and psychological changes occurring in adolescence and ending in maturity