You are the school nurse assessing the neurovascular status of a child who had a sports injury. You check the skin color, capillary refill, skin temperature, and pulses of distal extremities
You report the capillary refill as within the normal range if it is less than: a. 6 seconds c. 4 seconds
b. 5 seconds d. 3 seconds
D
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A Incorrect. Capillary refill is not within the normal range if it is less than 6 seconds.
B Incorrect. Capillary refill is not within the normal range if it is less than 5 seconds.
C Incorrect. Capillary refill is not within the normal range if it is less than 4 seconds.
D Correct. Capillary refill is within the normal range if it is less than 3 seconds.
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The nurse explains to a client with right-sided heart failure that failure of the right ventricle prevents the heart from:
1. Pumping blood to the left ventricle. 2. Pumping blood to the body. 3. Pumping blood to the coronary arteries. 4. Pumping blood to the lungs.
Pressure to slant or misuse the findings of an evaluation from the stakeholders would be what kind of problem?
A. Moral B. Management C. Confidentiality D. Ethical
When psychiatric nurses perform admission assessments of young adults and middle-aged adults, which of the following should be an assessment priority?
A) Coping skills B) Cognition C) Self-esteem D) Suicide risk
The physician tells the nurse "Mrs. G's appearance is that of a typical manic client." The nurse can expect Mrs. G to be attired in clothing that is
A. dark colored and modest. B. colorful and outlandish. C. compulsively neat and clean. D. ill-fitted and ragged.