*NURSING > HESI MED SURG > Test Bank - Medical-Surgical Nursing: Assessment and Management of Clinical Problems 10e -BEST REVIS (All)
Test Bank - Medical-Surgical Nursing: Assessment and Management of Clinical Problems 10e -BEST REVISION A MATERIAL FOR FALL SEMESTER
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Elevate the patients leg. b. Press firmly on the lesion. c. Check the temperature of the skin around the lesion. d. Palpate the dorsalis pedis and posterior tibial pulses. ANS: B If the lesion is... caused by intradermal or subcutaneous bleeding or a nonvascular cause, the discoloration will remain when direct pressure is applied to the lesion. If the lesion is caused by blood vessel dilation, blanching will occur with direct pressure. The other assessments will assess circulation to the leg, but will not be helpful in determining the etiology of the lesion. DIF: Cognitive Level: Apply (application) REF: 401 TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity 4. When examining an older patient in the home, the home health nurse notices irregular patterns of bruising at different stages of healing on the patients body. Which action should the nurse take first? a. Discourage the use of throw rugs throughout the house. b. Ensure the patient ha [Show More]
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