A 42-year-old patient is admitted to the hospital after sustaining multiple burns. The patient's arm is white, leathery, and does not blanch. Based on this description, what is the depth of injury?
• Full thickness burn (3rd degree): White/Brown, dry, leathery, painless, no blanching
• Superficial (1st degree): Red, dry, painful
• Superficial partial thickness (2nd degree): Red, clear blisters, moist, painful, blanches
• Deep partial thickness (2nd degree): Red and white, bloody blisters, moist, painful, less blanching
• 4th degree: Black, eschar, dry, painless, no blanching
The nurse is discharging a patient who recently underwent surgery for an above-the-knee amputation (AKA) of the left lower extremity. The patient requires additional education if he states:
The nurse is caring for a patient recently diagnosed with Prinzmetal's angina. The nurse explains to the patient that with this type of angina, symptoms may be triggered by which of the following?
A patient with a recent MI has asked if he can talk to the nurse about sex. What should the nurse do?
A patient is admitted to the hospital with complaints of a severe headache and tinnitus. His blood pressure is 202/118 mm Hg. The patient is diagnosed with malignant hypertension, which is most commonly caused by:
The nurse is encouraging a patient with peripheral artery disease (PAD) to start a progressive exercise program. The nurse explains to the patient that the reason exercise will improve their symptoms of intermittent claudication is that it:
A 68-year-old is admitted to the surgical unit after undergoing a total hip replacement. Which of the following interventions is most important to prevent dislocation of the prosthesis?
The nurse is caring for a patient with acquired immunodeficiency syndrome (AIDS). To evaluate for early signs of Kaposi's sarcoma, the nurse assesses the patient for lesions that are:
A nurse is assessing a patient with bilateral hand burns and singed arm hair. The nurse identifies this type of burn as:
The nurse is caring for a dehydrated client with impaired oral mucous membrane related to lack of oral intake and vomiting. What nursing interventions should be included on the care plan to relieve symptoms?
The nurse is administering an ACTH stimulation test to a patient suspected of having Addison's disease. Which of the following is true regarding the ACTH stimulation test?
The nurse is caring for a patient suspected of having systemic scleroderma. The nurse explains to the patient that systemic scleroderma:
The nurse is assessing a patient with hyperthyroidism. Which of the following are symptoms of hyperthyroidism?
A blind patient with Parkinson's disease is to ambulate down the hall. Which of the following techniques is the best way for the nurse to assist a blind patient in ambulation?
A patient with hyperaldosteronism is having trouble controlling his hypertension. The nurse explains that his hypertension is caused by excessive aldosterone secretion from the:
An elderly patient with arthritis wants to control his disease and pain without the use of medications. Which of the following should the nurse include in the patient's care plan?
The nurse reviews the culture results of a patient with osteomyelitis. The nurse would expect which organism to be the likely cause?
A patient with diabetes mellitus is seen in the clinic for acute sinusitis. The patient is taught this infection will have which effect on his insulin needs?
A diabetic patient is receiving instructions on how to prevent diabetic ketoacidosis during an acute infection. Which of the following is false?