Which nursing assessment accurately describes the results of an intradermal skin test?
a. Itching and weeping
b. Erythema and induration
c. Swelling and coolness
d. Pallor and drainage
ANS: B
The result should be measured by diameter of erythema in millimeters, and the induration should be palpated and measured in millimeters. Itching is not relevant to the results; weeping should be reported to the health care provider but is not pertinent to the evaluation of the skin test. Swelling, coolness, pallor, and drainage are not relevant to evaluation; reporting this to the health care provider is appropriate but not pertinent to the evaluation of the skin test.
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A) Coagulation effects B) No effect C) Anticoagulant effects D) Antiplatelet effects
The nurse is planning an inservice for nursing assistive personnel on ways to prevent the development of deep vein thrombosis (DVT) in older clients. Which information must the nurse include in this presentation? Select all that apply.
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Immune thrombocytopenia purpura (ITP) is an immune disease marked by a decrease in the number of platelets due to:
1. Destruction by antibodies produced against a client's own platelets. 2. An overproduction of reticulocytes. 3. An overproduction of neutrophils. 4. A reaction to heparin therapy.
Research on nurse retention has indicated that many nurses leave nursing after a what period of time?
a. 10 years c. 5 years or less b. 7 years or less d. before the end of the first year