During a routine physical assessment, the nurse notes the 72-year-old female client has begun to exhibit some of the normal age-related changes related to posture
When preparing to document, which of the following is likely the best term to be used to describe the observations?
A) Lordosis
B) Kyphosis
C) Scoliosis
D) Sway back
B
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What measure protects the nurse when preparing cytotoxic drugs?
A) Wearing protective equipment such as gloves, mask, and gown B) Washing hands before preparation C) Mixing medication in a 1-L bag D) Administering medication IM
The psychiatric forensic nurse has been asked by the defendant's lawyer to determine the client's
legal sanity. The priority task of the nurse will be to a. determine whether the defendant understands the legal charges and is capable of assisting in his own defense. b. reconstruct the defendant's mental state at the time of the crime. c. presents a danger to self or others in the immediate future. d. determine whether a crime has been committed.
Burow solution is used in wet soaks for inflammation of the skin. Which of the following patient teaching points would the nurse include? (Select all that apply.)
1. Use a single layer of dressings. 2. Moisten multiple layers of dressings. 3. Reapply every 15 to 30 minutes for 4 to 8 hours. 4. These dressings will promote circulation and provide warmth.
In which client situation could an amniotomy be safely performed?
a. G1 P0, 38 weeks' gestation, 20% effaced, closed cervix b. G2 P1, 40 weeks' gestation, with fetus in a breech presentation c. G2 P0, 39 weeks' gestation, 70% effaced, cervix dilated 2 cm d. G3 P2, 41 weeks' gestation, early labor complicated with hydramnios