During a skin assessment, the nurse notes a pressureulcer with exposed bone. What stage is this pressureulcer classified as per the National Pressure UlcerAdvisory Panel (NPUAP)?A) Stage IB) Stage IIC) Stage IIID) Stage IV

A pressure ulcer, also known as a pressure sore, bed sore, or decubitus ulcer, is a localized damage…

Answered: During a skin assessment, the nurse…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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The nurse is developing a plan of care for a patient receiving an anorexiant. Which nursing diagnosis is most appropriate?a )Deficient fluid volumeb) Sleep deprivationc) Impaired memoryd )Imbalanced nutrition, less than body requirements
Describe the nursing assessment of pressure ulcers .
What is the priority nursing diagnosis for for a client with immobility 1)Risk for disuse syndrome as evidenced by immobility 2)Risk for impaired skin integrity as evidenced by pressure over bony prominences 3)Ineffective breathing patterns related to the ability to breathe deeply in a supine position 4)constipation related to immobility
Explain the nurse's role in managing complex wound care for diabetic ulcers.
A patient has been instructed to use an over-the-counter (OTC) form of the bulk-forming laxative methylcellulose (Citrucel) to prevent constipation. The nurse will advise the patient of potential adverse effects, including (Select all that apply) a) fluid and electrolyte disturbances.b )decreased absorption of vitamins.c )gas formation.d )darkened stools.e )discolored urine.
A patient with diabetes mellitus presents with a wound on the foot that is slow to heal. The nurse identifies which nursing diagnosis as most appropriate? a) Impaired Skin Integrity b) Ineffective Tissue Perfusion c) Risk for Infection d) Impaired Physical Mobility
When performing a neurological assessment on a patient with a suspected stroke, the nurse assesses for: A) Bradycardia B) Hypertonicity C) Increased bowel sounds D) Contralateral weakness or paralysis
A patient experiencing ethanol withdrawal is beginning to show severe manifestations of delirium tremens. The nurse will plan to implement which interventions for this patient? (Select all that apply.) a )Doses of an oral benzodiazepineb )Doses of an intravenous benzodiazepine c) Restraints if the patient becomes confused, agitated, or a threat to himself or othersd )Thiamine supplementatione )Oral disulfiram (Antabuse) treatment f ) Monitoring in the intensive care unit
Which teaching point would be appropriate to include when the nurse is informing a patient about the adverse effects of antimalarials?a )The skin may turn blotchy while these medications are taken.b) These medications may cause anorexia and abdominal distress.c )These medications may cause increased urinary output.d )The patient may experience periods of diaphoresis and chills.
During therapy with the cytotoxic antibiotic bleomycin, the nurse will assess for a potentially serious adverse effect by monitoring a )blood urea nitrogen and creatinine levels.b )cardiac ejection fraction.c )respiratory functiond )cranial nerve function.
A- list two non-pharmacological lifestyle changes you would instruct your patient to make to help augment the pharmacological therapy. B- List two non-pharmacological treatments on which to educate your patient to lessen or prevent inflammation and therefore the need for excessive medication.
The nurse has provided teaching about oral corticosteroid therapy to a patient. Which statement by the patient shows a need for more teaching? a) “I will report any fever or sore throat symptoms.”b )“I will stay away from anyone who has a cold or infection.”c) “I can stop this medication if I have severe adverse effects.”d )“I will take this drug with food or milk.”

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During a skin assessment, the nurse notes a pressure ulcer with exposed bone. What stage is this pressure ulcer classified as per the National Pressure Ulcer Advisory Panel (NPUAP)? A) Stage I B) Stage II C) Stage III D) Stage IV