Which zone consists of the area where the injury is most severe and deepest?

Hyperemia.

Coagulation.

Stasis.

Necrosis.

Answer and Explanation

The Correct Answer is D

Necrosis. Necrosis is the death of cells or tissue due to disease, injury, or lack of blood supply. In the process of tissue injury, necrosis occurs in the deepest and most severe area of injury.

Choice A, Hyperemia is an increase in blood flow to an area, causing redness and warmth.

Choice B, Coagulation is the process of blood clotting.

Choice C, Stasis is a reduction in blood flow to an area, causing blood to pool and resulting in tissue hypoxia.

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Correct Answer is A

Explanation

Arm exercises on the affected side. Patients postmastectomy should avoid arm exercises on the affected side, especially if lymph nodes were removed, to prevent lymphedema. Wearing compression garments can also be helpful.

B: This option is correct and should be encouraged as it allows for easier movement of the arms.

C: This option is correct, but it does not address the specific needs of patients postmastectomy.

D: Applying cream to the breast is not necessarily contraindicated, but patients should be cautious about using any products that could irritate or damage the skin.

A. There will be blood and mucus initially exiting the stoma. B. The stoma will shrink a bit over a period of weeks. C. The stool will be of normal consistency and color. D. The stoma should be beefy red. E. Drainage will begin approximately 24-48 hours following surgery.

Correct Answer is ["A","B","D","E"]

Explanation

Pre-operative education is successful when the client states that there will be blood and mucus initially exiting the stoma, the stoma will shrink a bit over a period of weeks, the stoma should be beefy red, and drainage will begin approximately 24-48 hours following surgery. These statements indicate that the client has a good understanding of what to expect after surgery.

Option C, The stool will be of normal consistency and color, is not a correct answer as the stool from an ostomy is different from normal stool consistency and color.

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Which zone consists of the area where the injury is most severe and deepest?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a group of breast cancer survivors postmastectomy. When developing a list of instructions of points to avoid, which point is highlighted?

Correct Answer is A

Explanation

The nurse is providing patient education for a client who is going to have an ostomy created due to chronic Crohn's disease. The nurse has decided that pre- operative education is successful when the client states:. (select all that apply).

Correct Answer is ["A","B","D","E"]

Explanation

The nursing instructor is having a group discussion about the functions of the skin prior to reviewing common skin disorders. The instructor is pleased when the students answer (SATA).

The emergency room nurse is reporting the location of a fracture to the client's primary car. When stating the location of the fracture on the long shaft of the femur, the nurse would be most correct to state which terminology locating the fractured site?

The nurse is assisting the physician in completing a lumbar puncture. Which would the nurse note as a concern?

The nursing instructor is holding a clinical discussion with students in a renal unit in the hospital. The instructor asks about what is the smallest structure in the kidneys that forms urine. One of the students states that the dropdownis the functional unit of the kidney that forms the urine.

The nurse is planning care for a client admitted to the neurologic rehabilitation unit following a cerebrovascular accident. Which nursing intervention would be of the highest priority?

A client in chronic renal failure becomes confused and complains of abdominal cramping, racing heart rate, and numbness of the extremities. The nurse relates these symptoms to which of the following lab values?

The nurse is caring for a client experiencing hearing loss. The nurse uses the otoscope and notes a significant accumulation of cerumen. Which hearing loss type would be most accurate?

The nurse is caring for a postoperative client who had surgery to decrease intracranial pressure after suffering a head injury. Which assessment finding is promptly reported to the physician?