The nurse examines a pt and notices a herpes simplex/zoster skin lesion. How does the nurse document this lesion? Macule Papule Vesicle Wheal

The nurse examines a pt and notices a herpes simplex/zoster skin lesion. How does the nurse document this lesion?

  1. Macule
  2. Papule
  3. Vesicle
  4. Wheal
 
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When caring for an obese client 4 to 5 days post-surgery, who has nausea and occasional vomiting and is not keeping fluids down well, which of the following would you be most concerned about? 1. Post surgical hemorrhage and anemia 2. Wound dehiscence and evisceration 3. Impaired skin integrity and decubitus ulcers 4. Loss of motility and paralytic illeus

When caring for an obese client 4 to 5 days post-surgery, who has nausea and occasional vomiting and is not keeping fluids down well, which of the following would you be most concerned about?

1. Post surgical hemorrhage and anemia
2. Wound dehiscence and evisceration
3. Impaired skin integrity and decubitus ulcers
4. Loss of motility and paralytic illeus

 
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A pt has a moisture-retentive dressing for the treatment of a sacral decubitus ulcer. How long should the nurse leave the dressing in place before replacing it? 4-6 hr 8 h 12-24 hr 24-36 hr

A pt has a moisture-retentive dressing for the treatment of  a sacral decubitus ulcer. How long should the nurse leave the dressing in place before replacing it?

  1. 4-6 hr
  2. 8 h
  3. 12-24 hr
  4. 24-36 hr
 
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A client’s family asks you to explain some keloid scars that the client developed. The best explanation of the keloid scars would be that keloid scars are: 1. Due to a relatively rare inherited tendency. 2. Caused by an abnormal amount of collagen being laid down in scar formation. 3. Most common in pale-skinned people of Northern European ancestry. 4. Caused by repeated and abrupt early disruption of eschar being formed.

A client’s family asks you to explain some keloid scars that the client developed. The best explanation of the keloid scars would be that keloid scars are:

1. Due to a relatively rare inherited tendency.
2. Caused by an abnormal amount of collagen being laid down in scar formation.
3. Most common in pale-skinned people of Northern European ancestry.
4. Caused by repeated and abrupt early disruption of eschar being formed.

 
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