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In addition to the length of time the redness lasts, which assessment measure should the nurse perform? A. Nurse applies light pressure with fingertips. 2. How will the nurse document this finding? D. Reactive hyperemia 3. Which areas are most important for the nurse to observe for additional pressure ulcers? C Heels and Ankles 4. Which action should the nurse implement? D Identify these areas as sites where pressure damage has occurred 5. What etiology should the nurse identify? C Impaired physical mobility

6. Which goal will the nurse include in care plan? A Clients skin will remain intact 7. To provide pressure relief at night, the nurse teaches Aaron to sleep in which position? C Thirty degree lateral inclined position

8. Upon learning that Aaron has a pressure reducing gel chair cushion for his wheelchair.. A Encourage him to continue 9. The nurse teaches Aaron to apply a transparent film dressing D Once weekly

10. Which documentation best describes B Purulent 11. Which intervention is important to reduce effect of diarrhea.. A Apply a moisture repellent ointment 12. Which action should the nurse take? D Assure the charge nurse that written instructions ok to post in room 13. Which protective equipment will the nurse.. D Gloves, gown, goggles, and face mask 14. What equipment will the nurse use to assess length C Sterile cotton tipped applicator 15. Which irrigation technique is best?

D Apply steady pressure using 35 ml 16. How many ml of medication will nurse admister? D 30ml 17. What is the daily dosage that Aaron will receive? C 1200mg 18. What is the total daily dosage that Aaron will be receiving? C 1200mg. 19. Who is best member of interdisplinary B Pharmacist 20. Which technique should nurse use to mix B Turn bottle upside down 3 to 5 times 21. Nurse correctly uses which technique when administering med C Place med cup on flat surface at eye level 22. Nurse explains to Aaron that his precaution reduces.. A Anaphylactic reaction 23. Which class of medication should the nurse expect to admin? D An antihistamine such as diphenhydramine 24. Which diagnostic test should the nurse request D Peak and trough 25. What initial action should the nurse take? B Offer Aaron the opportunity to discuss his feelings 26. How should the nurse respond to Aarons statement? C You are trying to cope with a lot of concerns right now 27. Considering Aarons developmental stage, the nurse recommends which group? D Aarons girlfriend and his two best male friends 28. It is most important to include this group in which aspect of Aarons overall care? A Reviewing class notes and studying for exams 29. The nurse encourages him to select breakfast items with protein.. D Eggs and orange juice

30. What teaching should the nurse provide? B Hydrocolloid dressings should be continued