tissue integrity, pain, safety EAQ

Which benign tumor forms on the surface of the client's epithelium?

A papilloma is a benign tumor that forms on the surface of the epithelium. A fibroma forms on the fibrous tissue. An adenoma forms on the glandular epithelium. A chondroma forms on the cartilage

Which step would the nurse take when preparing to administer Rho(D) immune globulin to a postpartum client?

Ensure that the client is Rh negative and the neonate is Rh positive.

Which medication for treatment of gastroesophageal reflux disease would be contraindicated in the pregnant client

Misoprostol is contraindicated in pregnancy because it can cause uterine contractions, expelling the developing fetus. Ranitidine, esomeprazole, and calcium carbonate are not contraindicated during pregnancy

Which function of the dermis is accurate?

provides cells for wound healing

Which finding in a newborn is a behavioral response to pain? Select all that apply. One, some, or all responses may be correct.

crying

Which cardiac disease has the lowest risk for maternal mortality?

A client with patent ductus arteriosus has the lowest risk for maternal mortality. A client with aortic stenosis has a higher risk of maternal mortality. A client with endocarditis or pulmonary hypertension has the highest risk of maternal mortality

Which clinical manifestations are associated with a diagnosis of tuberculosis? Select all that apply.

anorexia, night sweats, hemoptysis - Tuberculosis is an infectious respiratory disease caused by Mycobacterium tuberculosis. Signs include a persistent cough, anorexia, hemoptysis, night sweats, shortness of breath, and a high body temperature. Diarrhea and weight gain are not associated with tuberculosis.

Which is the minimum length of time victims of a large scale near-drowning incident brought to the emergency department would be kept under observation in the hospital?

Complications can develop in victims who are essentially free of symptoms immediately after a near-drowning episode. This secondary drowning refers to delayed death from drowning due to pulmonary complications. Consequently, all victims of near-drowning should be observed in a hospital for a minimum of 23 hours, and longer if they have comorbidities. Twelve hours and 18 hours are too soon to rule out secondary drowning. The clients need not be kept under observation for 48 hours if they do not have comorbidities

After teaching a family member how to administer subcutaneous enoxaparin sodium, how will the nurse evaluate the effectiveness of the training?

Observing the family member administering enoxaparin sodium to the client

Which intervention would the nurse use to promote the safety of a client experiencing alcohol withdrawal?

The nurse would administer chlordiazepoxide to prevent injury because alcohol withdrawal can cause seizures and autonomic hyperactivity. Administering intravenous fluids maintains hydration. Monitoring anxiety levels does not affect client safety. Obtaining frequent vital signs allows the nurse to assess for autonomic hyperactivity but does not directly affect client safety.

Which action would the nurse take to prevent complications when caring for a client with a chest tube to water seal drainage system for a pneumothorax? Select all that apply.

The nurse would mark the drainage system every shift to determine the amount of drainage. --> The drainage system is a closed system, so the nurse would switch out the drainage system when it is full. Emptying the system would break sterility. The drainage system should remain below chest level to prevent fluid from backing up into the lungs. The nurse would notify the health care provider if drainage is greater than 100 mL/h. The nurse would keep the drainage system upright.

Which manifestation is an adverse effect of intravenous lorazepam? Select all that apply.

Benzodiazepines such as lorazepam have a range of side effects, many of which are related to central nervous system depression. Anterograde amnesia, drowsiness, sleep driving, blurred vision, and respiratory depression are all potential adverse effects of lorazepam.

Which infection is caused due to fungus

Dermatophytosis is a fungal infection in which single or multiple patches appear on the skin. Furuncle is a bacterial infection in which small, tender, erythematous nodules filled with pus appear on the skin. Folliculitis is a bacterial infection in which erythematous pustules appear singly or in groups on the skin. Herpes zoster is a viral infection in which lesions are present on an erythematous base.

Which information would the nurse provide to a client taking dulaglutide

Dulaglutide is an injection that, unlike insulin, is only administered subcutaneously once a week. It is not administered with insulin, it is not an oral medication, and it works with modified diet and exercise

A client had an annual tuberculin purified protein derivative (PPD) test, and the area of induration was 10 mm within 48 hours after planting. Which conclusion would the nurse make about the client's response to this diagnostic?

Induration measuring 10 mm or more in diameter is interpreted as significant; it does not indicate that active tuberculosis is present. About 90% of individuals who have significant induration do not develop the disease. Exposure to the tubercle bacillus indicates exposure; infection can be past or present. Passive immunity occurs when the body plays no part in the preparation of the antibodies; a positive tuberculin purified protein derivative indicates the presence of antibodies, not how they were formed. Developing a resistance to the tubercle bacillus reaction indicates exposure, not resistance.

Which information would the nurse provide a client with a new colostomy about managing the appliance

The first 6 to 8 weeks after surgery as inflammation subsides, the stoma will shrink in size. Therefore it is important to measure the stoma once a week and cut the opening 1/8- to 1/16-inch larger than the stoma so the wafer does not cut into the stoma. Antifungal cream or powder is used for fungal rashes. Soap should not be used on the peristomal area to prevent drying, which can lead to infection.

Which is the function of the medical command physician according to the Emergency Preparedness and Response Plan?

The function of the medical command physician, according to the Emergency Preparedness and Preparedness Plan, is deciding the number, acuity, and resource needs of clients. The function of the community relations or public information officer is serving as a liaison between the health care facility and the media. The function of the hospital incident commander is assuming overall leadership for implementing the emergency plan. The function of the triage officer is evaluating each client rapidly to determine priorities for treatment

To which disaster triage class would the nurse infer a client with a green triage tag belongs?

The green disaster triage tag is issued to nonurgent or "walking-wounded" clients who belong to class III. A red disaster triage tag is issued to clients who require immediate treatment and belong to class I. Clients with yellow and black tags belong to class II and IV respectively