Blog

A client’s ankles appear swollen. When the nurse assesses the edema, the skin depresses 6 mm, and the depression lasts 2 minutes. The nurse should document this finding as

You are a rookie correctional officer at a state prison. The day is coming to an end and the inmates are in their cells. As you make your rounds to count heads, one of the inmates asks you if you’d bring the inmate a piece of dental floss. An uncooked grain of rice from dinner stuck in a back tooth and it is very painful. The inmate only needs a small piece, surely not enough to pose any problem. According to prison rules, dental floss may only be used in the shower area, under observation. It is apparent to you that the inmate is in discomfort, and you know this inmate to be well-behaved. Another officer, a veteran, sees that you have retrieved dental floss and asks what you intend to do with it. After you explain, the vetran warns that it is not a good idea. Sometimes, a seemingly innocent request to break the rules turns out to just be the start, and once you have broken the rules, the inmate has something to hold over you. This can lead to more and more problematic requests and demands. This process is known as:

A client presents to the outpatient clinic with a wound that extends through the epidermis into the dermis. When documenting the stage of the wound, how would the nurse classify it?

While assessing the skin of an 36-year-old client, a nurse discovers nonpainful, slightly raised, ruby red lesion on the client’s trunk. What is the nurse’s next action?

The nurse is bathing an 80-year-old man and notices that his skin is wrinkled, thin, and dry. This finding would be related to which factor in the older adult?

A client had a CVA (stroke) 2 days ago, resulting in decreased mobility to her left side. During the assessment, the nurse discovers a stage I pressure area on the client’s left heel. What structures are involved in a Stage I pressure ulcer?

While assessing a surgical wound, the nurse notes exudate with pus and a foul odor. What type of exudate will the nurse document this as?

An African American client is admitted with shortness of breath. What would the nurse inspect to determine if the client is experiencing cyanosis?

According to Haag, one of the ethical issues of treatment professionals in prisons is the issue of “informed consent.”

Souryal argued that “integrated thinking” and