The nurse notes that the patient has a 2 ? 1 cm skin tear on the right buttock. The nurse notes a full-thickness skin loss. Which category of skin tears is most consistent with this description?
a. I
b. II
c. III
d. IV
C
Category III skin tears have complete tissue loss in which the epidermal flap is missing. Category I skin tears do not have tissue loss. Category II skin tears reflect a partial tissue loss. There is no Category IV.
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The nurse working with a family has observed that the older children have a large number of dental caries, so the nurse plans to provide the mother with information to prevent the development of dental caries in her new infant
What instructions will the nurse include in the teaching provided to the mother? Standard Text: Select all that apply. 1. Wiping the infant's gums with soft, moist gauze once or twice daily 2. Giving foods high in sugar only at breakfast time 3. Not allowing the infant to sleep with a bottle in the bed 4. Reminding the mother that dental care is not needed until the permanent teeth erupt 5. Using a topical anesthetic daily, beginning as soon as the first tooth begins to erupt
A nurse is caring for a patient with a phagocytic cell disorder. The patient states, "My specialist says that I will likely be cured after I get my treatment tomorrow." To what treatment is the patient most likely referring?
A) Treatment with granulocyte-macrophage colony-stimulating factor (GM-CSF) B) Hematopoietic stem cell transplantation C) Treatment with granulocyte colony-stimulating factor (G-CSF) D) Brachytherapy
When a patient is scheduled to receive ganciclovir, which laboratory result would cause the nurse to interrupt therapy?
1. An absolute neutrophil count of 450/mm3 2. A platelet count of 47,000 3. A total white blood cell count of 900 4. An absolute lymphocyte count of 500
It is NOT necessary to demonstrate the use of the phone and television, since most people know how to use them
True False