The nurse is positioning a client in bed in a semi-sitting position with the head of the bed elevated 45°–60°. This position is considered as being:
a. dorsal recumbent position. c. Sims's position.
b. Fowler's position. d. prone position.
ANS: B
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A new mother asks why she has to open a new bottle of formula for each feeding. The nurse's best response is:
a. "This makes it easier to keep track of how much the baby is taking." b. "Formula loses some nutritional value once it is opened." c. "Bacteria can grow rapidly in warm milk." d. "Formula may turn sour after it is opened."
An older adult client with friable skin and poor skin turgor has slipped down in the bed. Which action by the nurse is appropriate to safely reposition this client to prevent further skin breakdown?
A) Using the bed sheet to slide the client up in the bed B) Placing the bed in reverse Trendelenburg C) Using the client's arms to pull the client up in the bed D) Lifting the client, using the client's legs and arms for assistance
Which of the following are appropriate steps to take when removing cerumen from an older person's ear? (Select all that apply.)
a. Instill a softening agent first. b. Use hot water and hydrogen peroxide. c. Use a Waterpik inserted just inside the meatus. d. Have the patient lean backward. e. Drain water by having the patient lean forward toward the affected side.
A patient with Parkinson's disease who has
been prescribed entacapone (Comtan) tells you he is experiencing muscle aches, weakness, and has dark cola-colored urine. What is your best action? a. Send a urine specimen to the laboratory for urinalysis. b. Help the patient back to bed and instruct him or her to rest. c. Tell the patient that these are expected side effects of the drug. d. Hold the drug and notify the prescriber immediately.