The pediatric nurse assesses a child's skin for the presence of pressure ulcers. She is aware that the first sign of a pressure ulcer is redness on the skin that does not resolve over a period of:
A) 10 minutes.
B) 15 minutes.
C) 20 minutes.
D) 30 minutes.
D
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A 60-year-old male patient has been treated for pneumonia for the past 6 weeks. He is seen today in the clinic for an "unexplained" weight loss of 10 pounds over the last 6 weeks. The nurse knows that:
a. Weight loss is probably the result of unhealthy eating habits. b. Chronic diseases such as hypertension cause weight loss. c. Unexplained weight loss often accompanies short-term illnesses. d. Weight loss is probably the result of a mental health dysfunction.
A patient is unable to recognize or name familiar objects during her assessment. You would record this response as
a. agnosia. c. constructional apraxia. b. apraxia. d. visual amnesia.
A thin older adult woman is admitted to the hospital after several days of vomiting, diarrhea, and poor intake of foods and fluids. She has not voided since admission
In preparing to care for this patient, the nurse will look for what laboratory values to help guide medication administration? (Select all that apply.) a. Creatinine clearance b. Gastric pH c. Plasma drug levels d. Serum albumin e. Serum creatinine
A nurse observes a student nurse caring for a hearing-impaired patient. The nurse will intervene if the student nurse
1. Speaks clearly without shouting. 2. Speaks directly to the patient's interpreter. 3. Positions himself or herself in front of the patient when speaking. 4. Turns down the radio volume when speaking to the patient.