A patient with quadriplegia presents to the outpatient clinic with an ischial wound that extends through the epidermis into the dermis.When documenting the depth of the wound,how would the nurse classify it?

A) Partial-thickness wound
B) Penetrating wound
C) Superficial wound
D) Full-thickness wound

The nurse is admitting a child with a Wilms tumor. Which is the initial assessment finding associated with this tumor?

A) Abdominal swelling
B) Weight gain
C) Hypotension
D) Increased urinary output

A situation when the researcher is unaware of the risk-benefit ration, and therefore is unable to disclose this information in informed consent, is referred to as _____________.

Which nursing diagnosis is most appropriate for an adult patient who is raising young children while caring for elderly parents?

A) Risk for unilateral neglect related to inability to care for both generations
B) Ineffective protection related to inability to constantly supervise elderly parents
C) Risk for caregiver role strain related to responsibilities for parents and children
D) Readiness for enhanced parenting related to realistic expectations of development

Rather than exploring the results, qualitative research explores the ____________.

Select the nursing intervention necessary after administering naloxone (Narcan) to a patient experiencing an opiate overdose.

A) Monitor the airway and vital signs every 15 minutes.
B) Insert a nasogastric tube and test gastric pH.
C) Treat hyperpyrexia with cooling measures.
D) Insert an indwelling urinary catheter.

The nurse is caring for a patient with a healing Stage III pressure ulcer. The wound is clean and granulating. Which health care provider's order will the nurse question?

A) Use a low-air-loss therapy unit.
B) Irrigate with Dakin's solution.
C) Apply a hydrogel dressing.
D) Consult a dietitian.

During a skin assessment, the nurse notices that a Mexican-American patient has skin that is yellowish-brown; however, the skin on the hard and soft palate is pink and the patient's scleras are white. From these findings, what can the nurse rule out?

A) Pallor
B) Jaundice
C) Cyanosis
D) Iron deficiency