When admitting a patient to the hospital, the nurse notes the patient has mild sunburn. How should the nurse document this finding?
a. Dyspnea
b. Cyanosis
c. Erythema
d. Ecchymosis
ANS: C
Erythema is redness or inflammation of the skin or mucous membranes that is the result of dilation and congestion of superficial capillaries; erythema is seen in mild sunburn.
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The PACU nurse is assessing a patient during the immediate postoperative period. Which of the following assessment findings may indicate that the patient needs oxygen therapy?
A) Increase in respiratory rate from 20 breaths per minute to 32 breaths per minute B) Increase in blood pressure from 110/62 mm Hg to 132/88 mm Hg C) Decrease in pulse oximetry reading from 100% to 98% D) Decrease in Pa02 reading from 93 mm Hg to 89 mm Hg
The nurse is reviewing the patient's history and notes that the patient has a history of postnecrotic cirrhosis. This type of cirrhosis is often the result of:
A) A previous bout of acute viral hepatitis B) Chronic alcoholism C) Biliary obstruction D) Cholangitis
A patient who was recently diagnosed with ovarian cancer wants to have children. Which type of treatment should the nurse expect to be prescribed first for this patient?
1. chemotherapy 2. radiation therapy 3. surgery to remove one ovary 4. hormone replacement therapy
A marked weight loss in a 24-hour period usually reflects a fluid loss.
Answer the following statement true (T) or false (F)