It is important to observe for cyanosis as a sign of hypoxemia. Which of the following choices provides the most useful description of this condition? Cyanosis is:
1. produced by low oxygen levels in the blood.
2. often seen as circumoral bluish discoloration of the skin.
3. directly related to the amount of hemoglobin in the blood, in the presence of oxygen deficit.
4. generally associated with other signs of oxygen deficit.
ANS: 3
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A patient had a ileal conduit and is being cared for by a critical care nurse. What is a complication the nurse would monitor this patient for in the immediate postoperative unit?
A) Hyperkalemic acidosis B) Colon obstruction C) Ureteral obstruction D) Gangrene of the ilium
The nurse is instructing an older client on ways to prevent esophageal irritation from taking medication. Which information should the nurse include in this teaching? Select all that apply.
1. Drink at least 8 ounces of water with morning medications. 3. Take several sips of water before taking oral medications. 4. Sit up in a chair for at least 30 minutes after taking oral medications.
An older patient asks why she always feels so cold. What should the nurse's response include? Select all that apply.
A. "One layer of the blood vessels gets thinner with aging." B. "Heat sensors in the blood vessels lose sensitivity with aging." C. "Blood vessels don't constrict as quickly with aging." D. "Your body metabolism is slowing the amount of blood flow." E. "Aging causes a layer of the blood vessels to stiffen."
Catherine is a student nurse who volunteers twice a month in an inner city clinic. The young mother of an 8-month-old patient brought her daughter to the clinic after taking the little girl's temperature rectally and obtaining a reading of 100
4° F. The mother was concerned that her daughter might be ill. Which of the following is the best response from Catherine? A. "Babies usually run lower rather than higher temperatures when ill." B. "Because the temperature is low-grade, it is probably a viral infection.' C. "Rectal temperatures are higher than temperatures obtained in other sites." D. "Because the temperature is low-grade, it is probably a bacterial infection."