When assessing a patient's wound, a nurse suspects that the wound most likely has been infected with Clostridia because
1. A crackling sensation can be felt when palpating around the wound.
2. The area surrounding the wound is bright red and draining serosanguineous material.
3. The drainage from the wound has changed from serous to purulent.
4. The wound is not as well approximated as it appeared to be yesterday.
ANS: 1
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The nurse demonstrates transpersonal caring for patients when maintaining what attitude?
1. Nonjudgmental 2. Detached 3. Loving 4. Friendly
The nurse is beginning an assessment with a pregnant patient from a non-English-speaking culture. The interpreter is having difficulty understanding what the patient is trying to say and the patient is becoming frustrated
Which nursing diagnosis would be the most appropriate for this situation? A) Fear B) Anxiety C) Powerlessness D) Impaired verbal communication
The nurse assessing a client with hypopituitarism would note the finding most consistent with this disorder as
a. a pendulous abdomen. b. frequent nasal drainage. c. mottled skin. d. short stature.
Of the following, which one is the most useful clinical evaluation tool to assist in the diagnosis of dementia?
A. Folstein's Mini-Mental Status Exam (MMSE) B. St. Louis University Mental Status Exam (SLUMS) C. Montreal Cognitive Assessment (MoCA) D. Geriatric Depression Scale (GDS)