MC When instructing a client to move out of a chair using crutches, the instruction should include:
A. Hold crutches, one on each side of body.
B. Hold both crutches in hand opposite affected leg.
C. Hold both crutches in hand on affected leg side.
D. Rest crutches on arm of chair on affect leg side.
D
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This type of intervention might be used for states of extreme emotional or physical turmoil in which the patient feels out of control of self: ______________ _______________
ANS:
A school nurse is developing a health education program for third grade students about how to play safely. Which of the following provides the best rationale for this nursing action?
a. The kids were playing chicken in front of the school buses each day. b. The students are at the age when they begin to engage in risky behaviors. c. Toys can have unexpected hazards from lead paint to small swallowable parts. d. Without proper head protection, many sports can lead to traumatic brain injury (TBI).
Which tool would be the least appropriate scale for the nurse to use when assessing a 4-year-old child's pain?
A) FACES pain rating scale B) Oucher pain rating scale C) Poker chip tool D) Numeric pain intensity scale
While the patient's full–thickness burn wounds to the face are exposed, what is the best nursing action to prevent cross contamination?
a. Use sterile gloves when removing old dressings. b. Wear gowns, caps, masks, and gloves during all care of the patient. c. Administer IV antibiotics to prevent bacterial colonization of wounds. d. Turn the room temperature up to at least 70° F (20° C) during dressing changes.