You are caring for a person with a tracheostomy. The person wishes to take a shower. What are the implications?
What will be an ideal response?
A shower may be taken with a shower guard and a handheld nozzle to prevent water from entering the stoma. The person needs to be assisted to assure no water, soap, or shampoo enters the stoma.
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A blow with a sharp object has resulted in an injury to a patient's skull and the tissues surrounding his brain
What term is used to describe the fibrous connective tissue that hugs the brain closely and extends into every fold of the brain's surface? A) Dura mater B) Arachnoid C) Fascia D) Pia mater
The nurse is asked to prepare for the admission of a child to the pediatric unit with a diagnosis of Wilms tumor. The nurse is developing a plan of care for the child and suggests including which of the following in the plan of care?
1. Monitor the temperature for hypothermia. 2. Monitor the blood pressure for hypotension. 3. Inspect the urine for the presence of hematuria at each voiding. 4. Palpate the abdomen for an increase in the size of the tumor every 8 hours.
Which of the following is not a symptom of autism spectrum disorder?
1. Lack of expressive language 2. Enjoys change in routine 3. Lack of social skills 4. Engages in repetitive behavior
A nurse is caring for an industrial accident victim who has suffered blood loss from a nicked blood vessel. The nurse notes that there are no signs of swelling seen at the site of injury
Based on this information, which factor may lead to inability of the blood to clot in the client? A) Low levels of globulin synthesized by the body B) Decrease in the release of chemical mediators C) Release of immature neutrophils by bone marrow D) Deficiency in any of the major coagulant substance