MC Monitoring the client's skin condition involves several specific nursing actions that include
a) Check skin color
b) Assess skin temperature
c) Observe for areas of dryness, flaking, and texture
d) Examine skin for water retention
e) Observe client for alertness and attention span
A. All except d and e
B. All of the above
C. All except e
D. a and b
C
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When a child is experiencing acute pain, the pain stimulates which system?
1. Adrenergic nervous system 2. Limbic system 3. Autonomic nervous system 4. Reticular system
A patient is a 32-year-old woman whose mother recently died from malignant melanoma. She asks the nurse about what she can do to prevent the development of malignant melanoma in herself and her children
The best response by the nurse includes which information regarding risk factors for melanoma? a. Avoid exposure to the sun and use protective measures when exposure occurs. b. Have all nevi removed. c. Watch for changes in moles, especially on the back. d. There is nothing that prevents malignant melanoma, but it is curable if detected early.
Which nursing intervention would take priority following administration of a new medication?
1. Monitoring lab values 2. Monitoring the patient's respiratory status 3. Prescribing additional medications if side effects occur 4. Measuring patient weight
When measuring temperatures, use
A. sterile technique. B. aseptic technique. C. standard precautions. D. contact precautions.