After assessing the skin status of a patient, the nurse ...

[Mimi]

After assessing the skin status of a patient, the nurse determines the patient is at risk for pressure ulcer formation. Which of the following did the nurse most likely assess on this patient?
 
  a. dry mucous mem-branes c. nonblanching ery-thema
  b. damp skin d. +1 edema of ankles

Question 2

A client is admitted to the intensive care unit with a myocardial infarction. When taking a sleep history, you learn that the client's loud snoring often awakens the partner and that the client frequently experiences unrefreshing sleep.
 
  These findings suggest that the client has which of the following?
  1. narcolepsy
  2. obstructive sleep apnea
  3. a normal sleep pattern
  4. REM sleep

[Silverbeard98]

Answer to Question 1

C
The first sign of impending pressure ulceration is nonblanching erythema, which is redness that cannot be dissipated with direct pressure.

Answer to Question 2

ANS: 2

[Mimi]

Thank you!

[Silverbeard98]

Always glad to help...