The nurse notes blanching Study guides, Class notes & Summaries

When assessing a patient who spilled hot oil on the right leg and foot, the nurse notes dry, pale, and hard skin. The patient states that the burn is not painful. What term would the nurse use to document the burn depth? a. First-degree skin destruction b. Full-thickness skin destruction c. Deep partial-thickness skin destruction d. Superficial partial-thickness skin destruction - Answer-B. Full-thickness skin destruction With full-thickness skin destruction, the appearance is pale and ...

LVN Question Cards Question and answers 100% correct 2023/2024 The nurse notes blanching, coolness and edema at the peripheral intravenous (IV) site. On the basis of these findings, the nurse should implement which action? 1. Remove the IV. 2. Apply a warm compress. 3. Check for a blood return. 4. Measure the area of infiltration. - correct answer 1. Remove the IV. The nurse has received the client assignment for the day. Which client should the nurse attend

S. A nurse notes blanching, coolness, and edema at the peripheral intravenous (IV) site. Based on these findings, the nurse implements which action? a. Discontinues the IV b. Applies a warm compress c. Checks for a blood return d. Measures the area of infiltration correct answersa (This question requires that you focus on the data identified in the question and determine that the client is experiencing an infiltration. Next you need to consider the harmful effects of infiltration ...

REX-PN Study Guide Questions And Answers | 100% Correct Answers | 2024 Updated Study Quiz The nurse notes blanching, coolness, and edema at the peripheral intravenous (IV) site. On the basis of these findings, the nurse should implement which action? a. Remove the IV b. Apply a warm compress c. Check for a blood return d. Measure the area of infiltration Answer: a Determine if pt is experiencing infiltration. Next, consider the harmful effects of infiltration & determine which action ...

IV Therapy Final Exam, Questions and Answers Updated May 2022. According to the Centers for Disease Control, IV sites should be rotated every: Before equipment setup and venipuncture, _________ seconds of hand washing with an antimicrobial soap are recommended. What are the advantages to Over-the-Needle catheters? – What are the disadvantages to over-the-needle catheters? – Which statement is true regarding the insertion of an over the needle catheter? When starting an I...

S. A nurse notes blanching, coolness, and edema at the peripheral intravenous (IV) site. Based on these findings, the nurse implements which action? a. Discontinues the IV b. Applies a warm compress c. Checks for a blood return d. Measures the area of infiltration - a (This question requires that you focus on the data identified in the question and determine that the client is experiencing an infiltration. Next you need to consider the harmful effects of infiltration and determine the ac...

NURS 125 Final Exam Questions and Answers. A patient on a medical- surgical floor reports having shortness of breath. The nurse needs to conduct which type of assessment? For which patient is a shift assessment indicated? Which of the following examples represents a secondary prevention level of health promotion? Which of the following is an example of objective data? A nurse suspects a patient is a victim of physical abuse. Which response by the nurse will most likely encourag...

NSG-300 Exam 2 Correct 100%(Scored A What are 3 pressure related factors that contribute to pressure ulcer development? - ANSWER1. Pressure Intensity 2. Pressure Duration 3. Tissue Tolerance How does pressure lead to tissue ischemia? - ANSWERIf pressure applied over a capillary exceeds normal capillary pressure and the vessel is occluded for a prolonged time What occurs is tissue ischemia is left untreated? - ANSWERtissue death Does blanching occur in dark skinned patients? - ANSWERN...

Fundamentals ATI Proctored Exam RN Fund A A nurse in a clinic is caring for a middle adult client who states, "The doctor says that, since I am at an average risk for colon cancer, I should have a routine screening. What does that involve?" Which of the following responses should the nurse make? You should have a fecal occult blood test every year." A nurse is caring for a client who is having difficulty breathing. The client is lying in bed with a nasal cannula delivering oxygen. Which ...

The nurse is caring for a patient with chronic lower back pain. The nurse knows that the most reliable indicator of pain in this client is: The patient is reporting "6/10" pain. The patient is refusing to get out of bed. The patient is refusing to eat breakfast. The patient's heart rate is 90 beats per minute. A Which of the following actions should the nurse take to ensure an accurate blood pressure (BP) reading? Ensure the width of the BP cuff is equal to 80% of the arm...