Where is the best place to observe for the presence of petechiae in dark-skinned individuals?
a. Face
b. Buttocks
c. Oral mucosa
d. Palms and soles
ANS: C
Petechiae, small distinct pinpoint hemorrhages, are difficult to see in dark skin unless they are in the mouth or conjunctiva.
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During a staff meeting, the unit manager discusses changing the way change-of-shift report is given, and asks for opinions about written report. One of the nurses correctly says written report works best in what situation?
1. Long-term care facilities 2. Day treatment centers 3. Intermediate care units 4. Specialty areas
What needs to happen to the protein–drug complex for the drugs to reach the cells where the drug can act?
A) The protein–drug complex must break itself into smaller pieces to enter the capillaries. B) The binding site on the protein picks up a chemical to make it soluble in the serum. C) The drug must break away from the protein-binding site and float freely. D) The drug must be dissolved in the plasma so it can enter the capillaries and then the tissues.
The nurse is planning the care for a patient admitted with diabetic ketoacidosis. How does the nurse anticipate this condition will be medically managed?
1. BID dosing of NPH insulin and PRN coverage with regular insulin 2. A continuous low-dose intravenous infusion of regular insulin 3. Once-per-evening dose of Lantus insulin with daytime coverage with regular insulin 4. Sliding scale coverage with regular insulin
A new nurse asks the preceptor to describe the primary purpose of evaluation. Which statement made by the nursing preceptor is most accurate?
a. "An evaluation helps you determine whether all nursing interventions were completed." b. "During evaluation, you determine when to downsize staffing on nursing units." c. "Nurses use evaluation to determine the effectiveness of nursing care." d. "Evaluation eliminates unnecessary paperwork and care planning."