Nurses performing skin assessments on patients must pay careful attention to cleanliness, color, texture, temperature, turgor, moisture, sensation, vascularity, and lesions. Which guidelines should nurses follow when performing these assessments? Select all that apply. a. Compare bilateral parts for symmetry. b. Proceed in a toe-to-head systematic manner. c. Use standard terminology to report and record findings. d. Do not allow data from the nursing history to direct the assessment. e. Document only skin abnormalities on the patient record. f. Perform the appropriate skin assessment when risk factors are identified.

Nurses performing skin assessments on patients must pay careful attention to cleanliness, color, texture, temperature, turgor, moisture, sensation, vascularity, and lesions. Which guidelines should nurses follow when performing these assessments? Select all that apply. a. Compare bilateral parts for symmetry. b. Proceed in a toe-to-head systematic manner. c. Use standard terminology to report and record findings. d. Do not allow data from the nursing history to direct the assessment. e. Document only skin abnormalities on the patient record. f. Perform the appropriate skin assessment when risk factors are identified.

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)

6th Edition

ISBN:9781305964792

Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Chapter38: Introduction To The Medical Laboratory

Section: Chapter Questions

Problem 1CR

See similar textbooks

Similar questions

Before administering zolpidem at bedtime, which client assessment should the practical nurse (PN) complete? A Mental status. B Skin integrity. C Body temperature. D Bowel sounds.
A 5 year old child is brought to the clinic for consultation due to a redness on the skin,anterior forearm,right upper extremity. You are the attending nurse. What appropiate assessment technique will you apply to gather more objective cues?enumerate at least two with the possible findings.
In completing a focused assessment of a client who has completed treatment for Herpes zoster (shingles), what assessment data is most important for the practical nurse to obtain? A Pain scale. B Capillary refill. C Joint mobility. D Urine color.
A nurse is reinforcing teaching about hand hygiene with a newly licensed nurse . Which of the following information should the nurse include in the teaching? A. Apply friction to hands for 10 seconds B. Interlace the fingers while rubbing hands together C. Use hot water to wash hands. D. Dry hands starting from forearm to fingers (rationale as well thanks)
Scenario #11. A 65 year old client suffered a hip fracture and underwent hip surgery yesterday. He is scheduled to ambulate with physical therapy this morning. Which intervention should the nurse implement to assist the client to be able to perform the therapy? A. Assist the client to the bedside chair with the therapist’s help.B. Administer pain medication 30 minutes before therapy.C. Ask the unlicensed assistive personnel to brush the client’s hair.D. Ask the client to delay the therapy until late in the day. 2. This afternoon, the nurse administered intravenous morphine as the client was complaining of hip pain. Forty-five minutes after the nurse administered the morphine, the client continues to complain of severe pain to his hip. Which intervention should the nurse implement first?A. Administer another dose of morphine.B. Turn on the television to distract the client.C. Assess the client’s affected hip.D. Notify the health-care provider of the problem.Scenario #2: The nurse is…
. A 24-year-old male client complains of pain over his left ankle after playing basketball with his friends 30 minutes ago. What initial intervention would the nurse perform? * 1 point a. Apply dry heat therapy after assessing the site b. Apply moist heat therapy after assessing the site c. Apply dry cold therapy after assessing the site d. Either cold or hot therapy after assessing the site
The nurse collects objective and subjective data when con-ducting patient assessments. Which patient conditions are examples of subjective data? Select all that apply.a. A patient tells the nurse that she is feeling nauseous.b. A patient’s ankles are swollen.c. A patient tells the nurse that she is nervous about her testresults.d. A patient complains of having a rash on her arm that is itchy.e. A patient rates his pain as a 7 on a scale of 1 to 10.f. A patient vomits after eating supper.
Please explain to the understanding of the NSQHS Recognising and Responding to Acute Deterioration Standard. Please provide a detailed example from nursing clinical placement of your application of this standard to your practice (please presente example using the STAR format).
Briefly Apply the nursing process to the plan and implementation of care for clients experiencing thermal injury to the skin.
1identify the different. techniques use by nurses in positioning and /or turning patients.
A hospitalized pre-school boy recovering from surgery refuses to drink fluids. Which intervention is best for the practical nurse (PN) to implement? A Tell the child he can go outside after he drinks a full glass of water. B Make a game of seeing who can finish a glass of water first-the nurse or the child. C Offer the child a popsicle and allow him to pick the flavor he prefers. D Ask the parents to participate in encouraging the child's fluid intake.
A nurse is caring for a patient who has crippling rheumatoidarthritis. Which nursing intervention best represents the useof integrative care?a. The nurse administers Naproxen (Aleve) and uses guidedimagery to take the patient’s mind off the pain.b. The nurse prepares the patient’s physician-approved herbaltea and uses meditation to relax the patient prior to bed.c. The nurse administers Naproxen (Aleve) and performsprescribed range-of-motion exercises.d. The nurse arranges for acupuncture for the patient anddesigns a menu high in Omega-3 fatty acids.