A nurse notes blanching - Study guides, Class notes & Summaries

Lewis - Chapter 24: Burns Exam Study Guide Test. When assessing a patient who spilled hot oil on the right leg and foot, the nurse notes dry, pale, and hard skin. The patient states that the burn is not painful. What term would the nurse use to document the burn depth? a. First-degree skin destruction b. Full-thickness skin destruction c. Deep partial-thickness skin destruction d. Superficial partial-thickness skin destruction - CORRECT ANSWER ANS: B With full-thickness skin destruction,...

RN Comprehensive Predictor Form B (180 Questions And Answers) 1. A nurse is assessing a client who has left-sided heart failure. Which of the following will the nurse identify as the highest priority? A. Jugular distention B. Frothy pink septum C. Hepatomegaly D. Weight gain 2. A nurse in the emergency department is assisting with the suturing of a laceration to the client. Which of the following actions should the nurse take? A. Pour the sterile cleansing solution holding on the bot...

Fundamentals ATI Proctored Exam RN Fund A A nurse in a clinic is caring for a middle adult client who states, "The doctor says that, since I am at an average risk for colon cancer, I should have a routine screening. What does that involve?" Which of the following responses should the nurse make? You should have a fecal occult blood test every year." A nurse is caring for a client who is having difficulty breathing. The client is lying in bed with a nasal cannula delivering oxygen. Which ...

The nurse is caring for a patient with chronic lower back pain. The nurse knows that the most reliable indicator of pain in this client is: The patient is reporting "6/10" pain. The patient is refusing to get out of bed. The patient is refusing to eat breakfast. The patient's heart rate is 90 beats per minute. A Which of the following actions should the nurse take to ensure an accurate blood pressure (BP) reading? Ensure the width of the BP cuff is equal to 80% of the arm...

A nurse in an acute care facility is preparing a discharge summary for a client who is transferring to a long-term care facility. Which of the following documentation should the nurse include? A. Client flow sheet B. Acuity ratings C. Current medications D. Incident reports - C. Current medications The nurse should include the client's medications in the discharge summary to ensure client safety and continuity of care. A nurse is reviewing protocol in preparation for suctioning secr...

Fundamentals ATI Proctored Exam RN Fund A A nurse in a clinic is caring for a middle adult client who states, "The doctor says that, since I am at an average risk for colon cancer, I should have a routine screening. What does that involve?" Which of the following responses should the nurse make? You should have a fecal occult blood test every year." A nurse is caring for a client who is having difficulty breathing. The client is lying in bed with a nasal cannula delivering oxygen. Which of ...

1. When assessing a patient who spilled hot oil on the right leg and foot, the nurse notes that the skin is dry, pale, hard skin. The patient states that the burn is not painful. What term would the nurse use to document the burn depth? a. First-degree skin destruction b. Full-thickness skin destruction c. Deep partial-thickness skin destruction d. Superficial partial-thickness skin destruction ANS: B With full-thickness skin destruction, the appearance is pale and dry or leathery and...

A nurse is an acute care facility is preparing a discharge summary for a client who is transferring to a long-term care facility. Which of the following documentation should the nurse include. Client flow sheet Acuity ratings Current medications Incident reports Current medications the nurse should include the client's medications in the discharge summary to ensure client safety and continuity of care. A nurse is reviewing protocol in preparation for suctioning secretions from a client who...

NURS 125 Final Exam Questions and Answers. A patient on a medical- surgical floor reports having shortness of breath. The nurse needs to conduct which type of assessment? For which patient is a shift assessment indicated? Which of the following examples represents a secondary prevention level of health promotion? Which of the following is an example of objective data? A nurse suspects a patient is a victim of physical abuse. Which response by the nurse will most likely encourag...

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