Which client does the nurse assess to be at greatest risk for pressure ulcer development?
a. Client who has pneumonia
b. Client who requires assistance with am-bulation
c. Client with hypertension on multiple me-dications
d. Incontinent client with limited mobility
D
Being immobile and being incontinent are two significant risk factors for the development of pressure ulcers. Clients with pneumonia and hypertension do not have specific risk factors. The client who needs assistance with ambulation might be at moderate risk if he or she does not move about much, but having two risk factors makes the last option the person at highest risk.
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As children grow and develop, their interests and activities change. Place the following childhood activities in order from interests of a 5-year-old to interests of a 12-year-old
Standard Text: Click and drag the options below to move them up or down. Choice 1. Hass-defined hobbies such as model building, building with wood, needlepoint Choice 2. Colors in coloring book, mostly staying inside the lines Choice 3. Learns to ride a two-wheel bicycle without training wheels; reads first readers Choice 4. Belongs to the basketball team or cheerleading squad at school
The nurse uses the diaphragm of the stethoscope to best assess:
a. carotid sounds. b. lung sounds. c. vascular sounds. d. low-pitched sounds.
The nurse is preparing to administer a time-release oral medication. Why should the nurse instruct the client to swallow the medication whole?
1. It tastes bad if chewed. 2. The client might not get the full effect if it is chewed. 3. The client could be overdosed if it is chewed. 4. Excretion of the drug is slowed if chewed.
When instructing a patient on techniques to follow while performing a breast self-examination, the nurse instructs the patient to:
A) Use 1 or 2 fingers to examine the breast. B) Perform the entire examination while standing in front of the mirror. C) Place a pillow or folded towel under the shoulder of the breast you are not examining. D) Palpate the breast in the shower while they are soapy and possible changes are easy to detect.