The nurse caring for a patient notes that the patient’s lower extremities are covered with very dry skin and that the horny layer of the skin has become thickened. The nurse notes the finding as being which of the following? a) Lichenification b) Acantholysis c) Dermatitis d) Pyodermas

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The nurse caring for a patient notes that the patient’s lower extremities are covered with very dry skin and that the horny layer of the skin has become thickened. The nurse notes the finding as being which of the following?

a) Lichenification
b) Acantholysis
c) Dermatitis
d) Pyodermas

 
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A client has a pressure ulcer with a shallow, partial skin thickness, eroded area but no necrotic areas. The nurse would treat the area with which dressing? 1. Alginate 2. Dry Gauze 3. Hydrocolloid 4. No dressing indicated.

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A client has a pressure ulcer with a shallow, partial skin thickness, eroded area but no necrotic areas. The nurse would treat the area with which dressing?

1. Alginate
2. Dry Gauze
3. Hydrocolloid
4. No dressing indicated.

 
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The nurse correctly identifies which of the following data as an example of BP and HR measurements in a patient with postural hypotension? a) Supine: BP 120/70 mm Hg, HR 70 bpm; sitting: BP 100/55 mm Hg, HR 90 bpm; standing: BP 98/52 mm Hg, HR 94 bpm b) Supine: BP 130/70 mm Hg, HR 80 bpm; sitting: BP 128/70 mm Hg, HR 80 bpm; standing: BP 130/68 mm Hg, HR 82 bpm c) Supine: BP 140/78 mm Hg, HR 72 bpm; sitting: BP 145/78 mm Hg, HR 74 bpm; standing: BP 144/78 mm Hg, HR 74 bpm d) Supine: BP 114/82 mm Hg, HR 90 bpm; sitting: BP 110/76 mm Hg, HR 95 bpm; standing: BP 108/74 mm Hg, HR 98 bpm

/in /by

The nurse correctly identifies which of the following data as an example of BP and HR measurements in a patient with postural hypotension?

a) Supine: BP 120/70 mm Hg, HR 70 bpm; sitting: BP 100/55 mm Hg, HR 90 bpm; standing: BP 98/52 mm Hg, HR 94 bpm
b) Supine: BP 130/70 mm Hg, HR 80 bpm; sitting: BP 128/70 mm Hg, HR 80 bpm; standing: BP 130/68 mm Hg, HR 82 bpm
c) Supine: BP 140/78 mm Hg, HR 72 bpm; sitting: BP 145/78 mm Hg, HR 74 bpm; standing: BP 144/78 mm Hg, HR 74 bpm
d) Supine: BP 114/82 mm Hg, HR 90 bpm; sitting: BP 110/76 mm Hg, HR 95 bpm; standing: BP 108/74 mm Hg, HR 98 bpm

 
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A patient is undergoing thoracic surgery. What priority education should the nurse provide to assist in preventing respiratory complications? a) Splint the incision site using a pillow during deep breathing and coughing exercises. b) Pain medication should be taken before completing deep breathing and coughing exercises. c) Deep breathing and coughing exercises may be used as relaxation techniques. d) Deep breathing and coughing exercises should be completed every 8 hours.

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A patient is undergoing thoracic surgery. What priority education should the nurse provide to assist in preventing respiratory complications?

a) Splint the incision site using a pillow during deep breathing and coughing exercises.
b) Pain medication should be taken before completing deep breathing and coughing exercises.
c) Deep breathing and coughing exercises may be used as relaxation techniques.
d) Deep breathing and coughing exercises should be completed every 8 hours.

 
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