A paraplegic patient presents at the clinic with complaints of a lesion on the leg. On assessment of the lesion, the Nurse Practitioner finds that there is necrotic tissue extending past the epidermis
The Nurse Practitioner knows that this lesion is what?
A) A scar
B) An ulcer
C) A fissure
D) An erosion
Ans: B
Feedback: An ulcer is skin loss extending past epidermis; necrotic tissue loss; bleeding and scarring possible. The lesion, as it is described in the scenario, is not descriptive of a scar, fissure, or erosion.
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The nurse caring for a client admitted with a diagnosis of suspected lung cancer might expect to find which of the following on assessment?
A) hemoptysis B) night sweats C) dysphagia D) cyanosis
What is the priority teaching focus for the client with an unstable thoracic vertebral fracture that is being treated with immobilization prior to surgery?
A. Ensure that the client knows how to apply the immobilizing brace snugly around the trunk. B. Remind the client to lie immobile on the backboard used to transport injured clients from the field to the hospital. C. Explain that it is important that the trunk remain in alignment; avoid sitting up, arching the back, or twisting to either side. D. Teach the client to cough and deep breathe to avoid postoperative complications of atelectasis and pneumonia.
Group norms affect my moral decisions because I want to be seen as "good." I am at what stage of moral development?
a. Social contract and individual rights stage b. Stage 1 c. Interpersonal accord and conformity stage d. Stage 3