During hourly rounds, the nurse notes a patient’s right heel has an erythematous area that is warm to the touch. The skin is intact but does not blanch with pressure. Which of the following terms is most appropriate for the nurse to use when documenting this finding?
- NCLEX Practice
- Categories
- Physiological Adaptation
- View Question
- Category: Physiological Adaptation
- Difficulty: 10
Want help? View the answer with rationale.
Additional Physiological Adaptation Questions
- Question Type: Multiple Choice - Select One
- Difficulty: 3
The patient with cholestasis complains of significant pruritus. The nurse bases the explanation on which understanding of the pathophysiology behind the patient's pruritus?
- Question Type: Multiple Choice - Select One
- Difficulty: 6
The 8-month-old patient has had 4 skin abscesses in the past 3 months that have required draining. Each abscess drains less than 5 mL non-purulent fluid. The infant appears well otherwise and the parents deny respiratory infections. The infant’s complete blood count shows an elevated white blood cell count without bands or segmented cells. Immunoglobulin levels are appropriate for the age of the infant. The patient has a positive nitroblue test. The nurse plans care to include which intervention?
- Question Type: Multiple Choice - Select One
- Difficulty: 10
0