The nurse is caring for a client with decreased mobility. What intervention should the nurse include in the care plan to best help this client decrease the risk of fracture?
a. Apply shoes to improve foot support.
b. Perform weight-bearing activities.
c. Increase calcium-rich foods in the diet.
d. Use pressure-relieving devices.
B
Weight-bearing activity reduces bone mineral loss and promotes bone uptake of calcium, contri-buting to maintenance of bone density and reducing the risk for bone fracture. Although increas-ing calcium in the diet is a good intervention, this alone will not reduce the client's susceptibility to bone fracture. A foot support and pressure-relieving devices will not help prevent fracture, but may help with mobility and skin integrity.
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A patient's nursing care plan includes assessment for auditory hallucinations. Indicators that suggest the patient may be hallucinating include:
a. aloofness, increased distractibility, and suspicion. b. elevated mood, hypertalkativeness, and distractibility. c. performing rituals and avoiding open places. d. darting eyes, distracted, and mumbling to self.
The nurse knows which of the following statements listed below is accurate regarding the functions and nature of cytokines relative to a variety of pathologies?
A) "A particular cytokine can have varied effects on different systems, a fact that limits their therapeutic use." B) "Cytokine production is constant over time, but effects are noted when serum levels cross a particular threshold." C) "Most cytokines are produced by granular leukocytes, and different cells are capable of producing the same cytokine." D) "Cytokine actions are self-limiting, in that activation of one precludes activation of other cytokines with similar actions."
Trifluridine is an antiviral agent that is used in the eyes to treat what condition?
a. Dry eye b. Corneal ulcers c. Conjunctivitis d. Inflammation
Which of these steps is correct when a nurse is instilling two medications into a client's enteral tube?
a. Clamp the tube, attach the syringe, add both medications, release the clamp, and flush with 30 cc water. b. Attach the syringe, pour 30 cc of one medication, open the clamp, rinse with 5 cc water, pour remaining medication into the tube, and flush with 30 to 50 cc water. c. Attach the syringe, pour both medications into the tube, open the clamp, and flush with 30 to 50 cc water. d. Aspirate gastric contents, attach the syringe, pour each medication sequentially into the tube, and flush with 100 cc water