A dark-skinned patient has been admitted to the hospital in severe respiratory distress. To determine whether the patient is cyanotic, the nurse uses what knowledge of skin assessment?
a. It is not possible to assess color changes in patients with dark skin.
b. Cyanosis in patients with dark skin can be seen only in the sclera.
c. Cyanosis can be seen in the lips and mucous membranes of patients with dark skin.
d. Cyanosis will blanch out with direct pressure to the soles of the feet in dark-skinned patients.
C
Assessment of color is more easily made in areas where the epidermis is thin, such as the lips and mucous membrane.
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a. Requesting an order for aspirin for discomfort b. Trimming toenails close c. Using an electric razor d. Vigorous tooth cleaning
A child is diagnosed with severe allergic rhinitis. Which of the following manifestations would the nurse most likely assess in this client?
1. Edematous neck glands 2. Reduced hearing 3. Pruritis 4. Frequent wiping of the nose with the palm of the hand
A child diagnosed with cancer is prescribed chemotherapy. The latest lab value indicates the white-blood-cell count is very low. Which medication order does the nurse anticipate?
1. Filgrastim (Neupogen) 2. Ondansetron (Zofran) 3. Oprelvekin (Neumega) 4. Epoetin alfa (human recombinant erythropoietin)
Following a successful lumbar puncture, in order to avoid post-procedure discomfort for the patient, the nurse should:
a. Ask the parents to keep the child flat for several hours b. Encourage the child to begin ambulation as soon as possible c. Place the child in the high Fowler's position for several hours d. Place the child in the semi-Fowler's position with knees flexed for several hours