The nurse noted which of the following about the patient’s skin during her monitoring assessment. (Select all that apply)

Tachypnea

Temperature

Turgor

Tympany

Answer and Explanation

Correct Answer : B,C

Normal skin temperature for healthy adults ranges between 92.3 and 98.4 Fahrenheit or 33-37 Celsius, far lower than the 98.6 F average core temp. Changes in skin temperature may indicate potential illness or injuries.

To check for skin turgor, the healthcare provider grasps the skin between two fingers so that it is tented up. Commonly the lower arm or abdomen is checked. The skin is held for a few seconds and then released. Skin with normal turgor snaps rapidly back to its normal position.

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Correct Answer is D

Explanation

Napping during the day can interfere with a person's ability to sleep at night, especially if it is done for long periods or close to bedtime. The nurse can provide education on proper sleep hygiene and recommend ways to establish a consistent sleep schedule that promotes restful sleep, such as avoiding caﬀeine and alcohol, practicing relaxation techniques, and limiting exposure to electronic devices before bedtime.

A. Punking B. Sexual violence C. Intimate partner violence D. Human violence

Correct Answer is D

Explanation

Human/interpersonal violence refers to violence that occurs between individuals, including physical, sexual, and psychological harm. It can occur in various forms and settings, including the examples you mentioned such as child maltreatment, sibling violence, bullying, elder abuse, hate crimes, and war/combat violence. These forms of violence can have serious and long-lasting consequences for the victims, their families, and society.

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The nurse noted which of the following about the patient’s skin during her monitoring assessment. (Select all that apply)

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Naxlex Comprehensive Predictor Exams

The nurse is assessing the patients sleep habits. Which of the patients responses indicate a need for the nurse to provide teaching?

Correct Answer is D

Explanation

Child maltreatment, sibling violence, bullying, elder abuse, hate crimes and war/combat violence are types of?

Correct Answer is D

Explanation

The nurse auscultates the client’s abdomen for 1 minute and does not hear any bowel sounds. What should the nurse do next?

When assessing the breast, the nurse would teach the patient to palpate which of the following areas?

The nurse is admitting a client of the Muslim faith during the holy month of Ramadan. The client tells the nurse that he must fast during this time. Which response by the nurse is the most appropriate?

The nurse is teaching the patient about diﬀerent stages of sleep. The nurse knows that REM sleep includes which one of the following?

The nurse noted which of the following about the patient’s skin during her monitoring assessment. (Select all that apply)

To evaluate the patient’s level of consciousness (LOC), the nurse will:

The patient has voided this am. the nurse will inspect the urine for which of the following?

Some of the factors that negatively aﬀect nutrition in the older adult include which of the following? (Select all that apply)