The nurse predicts that the wound capable of becoming "ideally healed" is a(n)
a. abdominal incision.
b. burn scar on the leg.
c. cancerous lesion on the inside of the cheek.
d. severe acne on the face.
A
An "ideally healed" wound can occur only in epidermal tissue or mucous membranes. Once there is injury through the dermis, scar tissue replaces the missing dermis and epidermis. Scar tissue, as in a burn, replaces normal dermis and epidermis and normal function cannot return to that area. A cancerous lesion will need surgical removal with a wide excision and deformity. Severe acne also leaves scars.
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The nurse is doing preconception counseling with an adult client with no prior pregnancies. Which client statement indicates that teaching has been effective?
A) "I can continue to drink alcohol throughout my pregnancy." B) "A beer once a week will not damage the fetus." C) "I don't need to stop drinking alcohol until my pregnancy is confirmed." D) "I can't drink alcohol while breastfeeding, because it will pass into the breast milk."
A nurse explains to a patient that Healthy People 2020 was established by the Office of Disease Prevention and Health Promotions (ODPHP) to do which of the following? Select all that apply
1. Fund exercise programs and weight-management initiatives in the workplace. 2. Force tobacco companies and other manufacturers of unhealthy products to close. 3. Achieve health equity and eliminate disparities. 4. Create social and physical environments that promote good health. 5. Promote quality of life, healthy development, and healthy behaviors.
The nurse is caring for a patient who was admitted the previous day with a basilar skull fracture after a motor vehicle crash. Which assessment finding is most important to report to the health care provider?
a. Complaint of severe headache b. Large contusion behind left ear c. Bilateral periorbital ecchymosis d. Temperature of 101.4° F (38.6° C)
If you are with a patient when he or she receives a shock from an ICD, you should
A) have the patient lie down immediately. B) expect that the patient's entire body will become rigid. C) step away from the patient so you will not receive a shock. D) inform the nurse of what the patient was doing prior to the shock.