A surface wound involving loss of the epidermis and possible partial dermal loss is called a(n)
a. laceration c. evisceration
b. abrasion d. ecchymosis
B
Abrasions are surface wounds involving loss of the epidermis and possibly partial dermal loss. Lacerations involve cuts to the skin and soft tissues. Evisceration is the exposure of internal body contents through a surgical wound. Ecchymosis is bruising.
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The nurse educator is preparing an in-service on pain management for the staff. One of the staff nurses asks, "What is the most important part of a pain assessment?" Which response by the nurse educator is the most appropriate?
1. "Pain is only partially subjective and primarily a physiologic experience, so vital signs are the most important assessment." 2. "A client's response to pain is always based on the underlying cause, so the client's admitting diagnosis is important." 3. "Vital signs are not reliable indicators of acute pain, because only some clients are able to elicit a change in blood pressure or pulse rate." 4. "The response to pain is unique and based on numerous factors, which need to be assessed."
The nurse recognizes that instructions for mothers who are bottle feeding should include teaching them not to put the infant to bed with a bottle of milk in order to prevent the development of:
a. Gastric reflux b. Diarrhea c. Dental caries d. Colic
A mother of an 18-month old asks the nurse whether she can begin to introduce low-fat milk like the rest of the family drinks. The nurse answers the mother based on the knowledge that low-fat milk can safely be introduced at what age?
1. 18 months 2. 24 months 3. 3 years 4. 4 years
The nurse palpating a laboring client's contraction notes that it is mild. Which component of the contraction should the nurse associate the finding with?
A. Frequency. B. Intensity. C. Duration. D. Length.