Author Question: Petechiae are noted on the client as a result of the nurse finding: A. Bluish-black patches B. ... (Read 23 times)

biggirl4568 · **on:** Jul 24, 2018

Petechiae are noted on the client as a result of the nurse finding:

A. Bluish-black patches
B. Oozing pustules
C. Pinpoint-sized red dots
D. Large areas of raised, irritated skin

Question 2

When applying hot compresses to an open wound, the nurse should:

A. Apply clean gloves
B. Cover all of the wound surfaces
C. Leave the application in place for 30 to 40 minutes
D. Apply an electrical heating unit directly over the compress

joewallace · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

C
C. Petechiae are tiny, pinpoint-size, red or purple spots on the skin caused by small hemorrhages in the skin layers.
A. Here is a simple way to remember the characteristics that should alert you to the possibility of malignant melanoma: C Color blue/black or variegated.
B. Pustules are elevated areas filled with pus.
D. Stroke skin surfaces lightly with fingertips to detect texture of skin's surface. Note whether skin is smooth or rough, thick or thin, tight or supple and if localized areas of hardness or lesions are present. Localized texture changes result from trauma, surgical wounds, or lesions.

Answer to Question 2

B
B. Pack gauze snugly against wound. Be sure all wound surfaces are covered by warm compress. Packing of compress prevents rapid cooling from underlying air currents.
A. Sterile gloves are used to contact open wound.
C. Removing hot compress after 20 minutes and then reapplying in 15 minutes if desired maintains vasodilation and positive therapeutic effects. Local application of heat for more than 20 minutes may result in reflex vasoconstriction.
D. Cover moist compress with dry sterile dressing and bath towel. Apply aquathermia or waterproof heating pad over the towel.