A patient who has experienced a burn involving both the epidermis and the dermis asks if the area will heal and be as it was prior to the burn. What knowledge of skin structures should the nurse use to respond to this patient?
Select all that apply.
1. Most hair follicles are in the dermis.
2. Most sweat glands are in the dermis.
3. Hair follicles are located in the subcutaneous tissue.
4. Sebaceous glands are located in the dermis.
5. Receptors for pain and touch are located in the dermis.
Correct Answer: 1, 2, 4, 5
Most sebaceous glands and sweat glands, as well as the pain and touch receptors, are located in the dermis. Most hair follicles are also located in the dermis, not the subcutaneous tissue.
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A 15-year-old client with hemophilia sustains a leg laceration after falling off of his skateboard and is brought to the emergency department. The laceration is bleeding profusely even with direct pressure to the site
What does the nurse anticipate will be ordered for administration to control bleeding? A) Fresh frozen plasma B) A colloid solution such as hetastarch (Hespan) C) A crystalloid solution such as lactated Ringer's D) Albumin
In preparation for a sport's physical examination, the nurse is assessing the height of a 16-year-old male client. The client measures 5?5?. The client voices concerns about his lack of stature. He asks if he has reached his full height
Which of the responses by the nurse is most appropriate? 1. "By age 16, you are finished growing." 2. "Is your father very tall?" 3. "Why do you hope to grow taller?" 4. "You may continue to grow into your early 20s."
A nurse assesses a client who is experiencing acute pain. Which aspects of the pain assessment are gathered first before the detailed assessment? Select all that apply.
A. Location B. Provocation C. Intensity D. Quality E. Radiation
During your assessment you notice a pulsation in A.H.'s upper abdomen, slightly left of the midline, between the umbilicus and the xiphoid process
True or False: You will need to palpate this mass as part of your physical assessment. Explain your answer.