The nurse is assessing a client's wound and realizes that the second stage of the inflammatory process is characterized by which of the following?
a. Activation of the inflammation process
b. Erythema
c. Swelling
d. Pus
ANS: B
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What factors make the older adult more susceptible to pressure ulcers? (Select all that apply.)
a. The epidermal layer has thickened b. Subcutaneous fat has diminished c. Bruising is prevalent d. Skin receptor cells have reduced in sensitivity e. The skin is dry and scaly
"Hallucinations" are false sensory perceptions, which occur:
A) As a result of conflict B) Without external stimulus C) In schizophrenia only D) Due to ineffective parenting
The client at 20 weeks' gestation has not decided on a feeding method for her infant. She asks the nurse for advice. The nurse presents information about the advantages and disadvantages of formula feeding and breastfeeding
Which statements by the client indicate that the teaching was successful? A. "Formula feeding gives the baby protection from infections." B. "Breast milk cannot be stored; it has to be thrown away after pumping." C. "Breastfeeding is more expensive than formula feeding." D. "My baby has a lower risk of food allergies if I breastfeed."
A nurse is caring for a client with chickenpox. What precaution should the nurse take when caring for this client?
A) Place client with other clients infected with the same microorganisms. B) Wear a mask when within 3 feet of the client. C) Change gloves after contact with a client's infective material. D) Place the client in a room that has negative airflow pressure.