When you receive the shift report, you learn that your patienthas no special skin care needs. You are surprised during thebath to observe reddened areas over bony prominences. Whataction is appropriate?a. Correct the initial assessment form.b. Redo the initial assessment and document current findings.c. Conduct and document an emergency assessment.d. Perform and document a focused assessment of skinintegrity.

When you receive the shift report, you learn that your patienthas no special skin care needs. You are surprised during thebath to observe reddened areas over bony prominences. Whataction is appropriate?a. Correct the initial assessment form.b. Redo the initial assessment and document current findings.c. Conduct and document an emergency assessment.d. Perform and document a focused assessment of skinintegrity.

An Illustrated Guide To Vet Med Term

4th Edition

ISBN:9781305465763

Author:ROMICH

Publisher:ROMICH

Chapter10: Skin Deep

Section: Chapter Questions

Problem 1CP

See similar textbooks

Similar questions

A nurse is caring for an adolescent with severe acne. Whichrecommendations would be most appropriate to include in theteaching plan for this patient? Select all that apply.a. Wash the skin twice a day with a mild cleanser and warmwaterb. Use cosmetics liberally to cover blackheads.c. Use emollients on the area.d. Squeeze blackheads as they appear.e. Keep hair off the face and wash hair daily.f. Avoid sun-tanning booth exposure and use sunscreen.
A nurse is caring for a 25-year-old male patient who is coma-tose following a head injury. The patient has several piercings in his ears and nose. The piercing in his nose appears to benew and is crusted and slightly inflamed. Which action wouldbe appropriate when caring for this patient’s piercings?a. Do not remove or wash the piercings without permissionfrom the patient.b. Rinse the sites with warm water and remove crusts with acotton swab.c. Wash the sites with alcohol and apply an antibioticointment.d. Remove the jewelry and allow the sites to heal over.
A nurse caring for patients in the PACU teaches a novicenurse how to assess and document wound drainage. Whichstatements accurately describe a characteristic of wounddrainage? Select all that apply.a. Serous drainage is composed of the clear portion of theblood and serous membranes.b. Sanguineous drainage is composed of a large number ofred blood cells and looks like blood.c. Bright red sanguineous drainage indicates fresh bleedingand darker drainage indicates older bleeding.d. Purulent drainage is composed of white blood cells, deadtissue, and bacteria.e. Purulent drainage is thin, cloudy, and watery and may havea musty or foul odor.f. Serosanguineous drainage can be dark yellow or greendepending on the causative organism.
The nurse uses the RYB wound classification system to assessthe wound of a client who cut his arm on a factory machine.The nurse documents the wound as “red.” What would be thepriority nursing intervention for this type of wound?a. Irrigate the wound.b. Provide gentle cleansing of the wound.c. Débride the wound.d. Change the dressing frequently.
1. The outgoing nurse endorsed the patient with descending colostomy and upon assessment, you have noticed a stool leakage in the skin barrier. Which of the following is your immediate nursing action?do it A. Ask the outgoing nurse to re-assess the colostomy and ask to change the skin barrier before living. Refer to the medical resident's or fellow on duty. B. None of the above. C. Change the skin barrier immediately. D. Report to the charge nurse.
A 6-year-old male with cerebral palsy is hospitalized for respiratory distress secondary to aspiration pneumonia. During the patient’s third day in ICU, he remains ventilated and sedated. During a skin assessment, the nurse notes an open area on the patient’s occiput with the skull visible. During handoff, it was reported that the skin was intact. Upon review of the original assessment, there is no documentation of any open areas. Identify the factors that place this patient at risk for pressure injuries?
DIRECTIONS: In the blank provided, place a "T" if the statement is TRUE or place an "F" if the statement is FALSE. 1. The prefix hyper means above. 2. The study of skin is referred to as biology. 3. Nonconstructed terms are terms that are not formed from individual word parts. 4. Rhin/o is the combining form for nose. 5. The suffix -lepsy means "surgical repair". 6. Acronyms are medical terms made of multiple word parts. 7. The vowel "o" is the combining vowel used in most medical terms. 8. Pancreatic is the medical term that means "pertaining to the brain" 9. Prefix is the word part at the end of a word. 10. The suffix -ectomy means "surgical removal".
Riley D. is a certified medical assistant who has worked for Dr. Cormell, a dermatologist, for two years. She usually assists her in the surgical procedures performed in the office. Manuel C. is also a certified medical assistant who was hired recently. He is undergoing training with Riley because Dr. Cormell is opening a new location. Today, Riley will assist the doctor with a biopsy on a patient with a mole that changed color two months ago. Riley invited Manuel for him to observe the preparations for the procedure. She educates him on surgical handwashing and sterile gloving, and Manuel is amazed at how Riley assembles the instruments on the Mayo table for the doctor to reach out. Riley warns him not to talk or touch the table during the procedure and reminds him to put on his mask and to always keep his hands in front. The procedure is short and going well. The doctor is now preparing to suture, and Manuel is intensely observing the entire process; however, he suddenly feels the…
A client who had an injury on the right arm asked the nurse about the purpose of applying a cold compress to a bruised area. What will be the best answer of the nurse?
A client is receiving ophthalmic drops preoperatively for cataract extraction and asks the nurse why the HCP has prescribed all these meds. Which infomation should the nurse include when responding to the client? (Select all that apply) A. A med is used to induce sleep during the procedureB. The iris must be paralyzed during surgery to prevent it from reacting to light C. Pupillary dilation is necessary to access the eye chamber for lens removal D. These medications assist in obstructing the client's visionE. One of the meds is used to anesthetize the corneal surface
A 6-year-old male with cerebral palsy is hospitalized for respiratory distress secondary to aspiration pneumonia. During the patient’s third day in ICU, he remains ventilated and sedated. During a skin assessment, the nurse notes an open area on the patient’s occiput with the skull visible. During handoff, it was reported that the skin was intact. Upon review of the original assessment, there is no documentation of any open areas. 1. Identify two interventions that can be delegated to a UAP to assist with the management of the pressure injury? Be specific regarding what and how you would communicate to the UAP to ensure clear communication and maintain patient safety.
A 6-year-old male with cerebral palsy is hospitalized for respiratory distress secondary to aspiration pneumonia. During the patient’s third day in ICU, he remains ventilated and sedated. During a skin assessment, the nurse notes an open area on the patient’s occiput with the skull visible. During handoff, it was reported that the skin was intact. Upon review of the original assessment, there is no documentation of any open areas. 1. Is this pressure injury hospital-acquired? Why or Why not? Indicate any reporting actions that need to occur and why as well as any impact payment.