COMPLETE ANSWERS OFFERED
◉ percussing the sinuses. Answer: direct percussion
◉ manifestation of a stage 3 pressure ulcer. Answer: necrotic
subcutaneous tissue
◉ identify as an indication that client is dehydrated. Answer: skin
tenting is present
◉ skin of a patient and notes severe pallor. Answer: anemia
◉ malignant Melanoma. Answer: purplish in color
◉ a client who has Parkinson's disease. Answer: bradykinesia
◉ documented finding of vitiligo present bilateral hands. Answer:
abnormal loss of melanin in patches
◉ pitting edema and notes and indentation of 6 millimeters. Answer:
3+
, ◉ pruritis and red and oozing lesions on her lower leg. Answer:
contact dermatitis
◉ assessing the degree of joint flexion. Answer: goniometer
◉ best describes a bruit. Answer: indicative of stenosis
◉ following situations requires that the nurse works gloves. Answer:
a. changing an ostomy pouch
b. providing oral care
c. emptying urine from an indwelling urine collection bag
◉ very anxious about the physical examination what steps can the
nurse take to make him more comfortable. Answer: appear unhurried
and confident when examining him
◉ actions should the nurse take to determine the client's level of
strength. Answer: ask client to push her feet against the nurses palms
◉ to perform hand hygiene which of the following action. Answer: a.
apply 4- 5 ml of liquid soap to the hands
◉ should the nurse identify as a safety risk. Answer: scatter rugs are
present in the kitchen