A patient has cellulitis of the right foot. The nurse would expect which of the following signs?
• Cellulitis is a skin infection that extends into the dermis and subcutaneous tissue.
• The typical signs of cellulitis are an area of skin that is red, warm, tender or painful, swollen, and with a glossy appearance. Fever may be present. There may be an open wound with or without drainage, but can also occur in areas with skin that is intact.
• Cellulitis is not associated with a change in respiration rate, itching rash, or red nodules.
The nurse is assessing a patient with asthma. Which of the following would indicate that the patient's asthma is severe persistent?
A patient returns to the surgical unit after undergoing a transurethral resection of the prostate (TURP). The nurse prepares for continuous bladder irrigation using:
The nurse is instructing a patient before her scheduled upper GI endoscopy. The nurse should include which of the following?
A nurse is suctioning a patient on a mechanical ventilator. Before suctioning, the nurse hyper-oxygenates the patient because this
A nurse is preparing to administer SQ insulin into the abdomen of a patient. The patient asks why the abdomen is used instead of the arm. The nurse understands that
When caring for a patient with syndrome of inappropriate antidiuretic hormone (SIADH), the nurse anticipates which electrolyte abnormality characteristic of this disease?
The nurse is caring for a patient with a gastorintestinal (GI) bleed who is short of breath but has clear lung sounds and an oxygen saturation of 98%. Which of the following is the most probable cause for the patient's symptoms?
A patient with herpes zoster (shingles) is concerned about spreading the infection to her husband. Which of the following statements is true regarding the spread of shingles?
The nurse is providing discharge instructions to a patient who underwent a mastectomy and axillary lymph node dissection. Which of the following statements by the nurse is appropriate?
The nurse is preparing for a wet-to-dry dressing change for a patient with a diabetic foot ulcer. What is the benefit of a wet-to-dry dressing for this patient?
A nurse taking care of a patient with throat cancer is assessing the patient's ability to swallow food without aspiration or choking. The patient had a laryngectomy and has started oral intake. Which of the following diets, if taken without difficulty swallowing, indicates that the patient has tolerated the first stage of dietary advancement?
In the management of fluid overload in a client with heart failure, monitoring for hyperkalemia is necessary because of the potassium-sparing effect of which of these drugs?
A 5-year-old is being treated for scabies. While providing instructions to the patient's mother, the nurse should include which of the following information?
A nurse is assessing a patient suspected of having herpes zoster (shingles). Which of the following lesion patterns should the nurse expect to observe?
A nurse is at the bedside of a patient complaining of severe fatigue with increasing dyspnea. The nurse quickly reviews the patient's electrocardiogram (EKG) and sees a normal P-to-P interval and normal R-to-R interval. However, the PR intervals appear to be completely unrelated to the QRS complexes and the QT intervals are long. What condition does the nurse suspect the patient is experiencing?
The nurse is assessing a child with white patches on his tongue that may be candidiasis (thrush). The nurse confirms this suspicion because candidiasis:
A patient returns to the surgical unit after a parathyroidectomy. The nurse would anticipate which postoperative order from the physician?
While monitoring an electrocardiogram (EKG) rhythm strip, the nurse notices that no P-waves can be seen, but the QRS waves are occurring in irregular intervals. The nurse also notes that the heart rate is elevated to 126 beats per minute. This rhythm is recognized as which of the following?
The nurse is educating a patient with scoliosis about the potential complications associated with this disease. Which complications should the nurse discuss with the patient?
A patient has just been diagnosed with osteoarthritis and is instructed to take an NSAID to manage pain and inflammation. Which of the following health care professionals should be consulted to help manage the patient's condition?
A patient is seen in the clinic for a follow-up related to chronic gastritis. The nurse should be alert for which vitamin deficiency?
A patient with right lower quadrant abdominal pain is suspected of having appendicitis. The nurse explains to the patient that the most common cause of appendicitis is:
The nurse is educating a patient with hyperparathyroidism about diet modifications. Which of the following should the nurse emphasize?