Which preventive measures does the nurse use to prevent skin lesions in older adults? (Select all that apply.)
a. Use a lift sheet when moving the client in bed.
b. Avoid tape when applying dressings.
c. Avoid any type of restraining device.
d. Avoid whirlpool therapy.
e. Use loose dressing on all wounds.
f. Apply dressings only when wounds are draining.
A, B
Using a lift sheet will prevent shearing forces from tearing skin. Tape should be avoided so that the skin won't tear. Restraining devices may need to be used, but they should not be applied tightly. No contraindication to using whirlpool therapy for the older client is known.
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A pregnant woman is in the second stage of labor and is actively pushing. What type of pain would she be most likely to experience?
a. Deep, poorly localized pain b. Visceral pain c. Slow, dull, aching pain d. Somatic pain
The nurse is providing instructions to a patient diagnosed with renal cancer regarding when to call for help after discharge. Which statement by the patient indicates that teaching has been successful?
1. "I should call my physician if I experience new bleeding from any site." 2. "I should call my physician if I have an oral temperature higher than 100.5° F." 3. "I should call my physician if I have an episode of diarrhea." 4. "I should call my physician if I experience an occasional headache."
The nurse preparing discharge medication instructions for a client with a history of hepatic disease who has been diagnosed with gouty arthritis and prescribed colchicine includes the following information in the discharge teaching: Select all
that apply. 1. Signs of medication toxicity include diarrhea, anorexia, and weakness. 2. Adverse reactions to the medication include sore throat, bruising, and fever. 3. Take medication as prescribed, but arrange schedule to coincide with meals. 4. Keep scheduled appointments for the monitoring of prothrombin time. 5. Maintain current weight with the inclusion of calorie-dense foods.
A client questions why a medication that is used to treat Parkinson's disease has been prescribed for the diagnosis of periodic limb movement disorder (PLMD). What should the nurse do?
1. Contact the physician. 2. Assure the client that medications used to treat Parkinson's disease are also used to treat PLMD. 3. Tell the client not to take the medication because there is most likely an error. 4. Check with the pharmacy to make sure the correct medication has been provided to the client