When planning care for an 80-year-old African American woman, which intervention is most important for the nurse to include?
a. Bathe the patient twice weekly.
b. Use liberal amounts of soap and water.
c. Use quick, brisk motions to dry the pa-tient's skin.
d. Apply emollient to limbs and back.
B
People with dark complexions need to be bathed frequently due to the oiliness of their skin. Lib-eral amounts of water and soap are beneficial. Twice weekly bathing is insufficient for cleanli-ness. Friction and application of emollient are not conducive to skin health.
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The nurse considers that the most time-consuming elements of burn care in a patient with a burn injury after the emergent phase is:
A) Managing the patient's nutrition B) Providing fluid resuscitation C) Wound care D) Bowel and bladder management
Which process or condition is likely to have resulted in the arterial blood gas values listed below? pH 7.48, HCO3– 22 mEq/L, PCO2 28 mm Hg, PO2 98 mm Hg
A. Diarrhea for 36 hours B. Anxiety-induced hyperventilation C. Complete tracheal obstruction suffered as a result of aspirating a hot dog D. Diabetic ketoacidosis as a result of a urinary tract infection in a person with long-standing emphysema
The nurse takes special caution in positioning the infant with a myelomeningocele in order to:
a. Protect the sac b. Support the back c. Facilitate feeding d. Prevent vomiting
A nursing student has learned about the importance of nonverbal communication and has witnessed several examples of this in the clinical setting. Which event most clearly demonstrates nonverbal communication?
A) A client is bent over in a chair, holding his/her side and grimacing. B) A client rings his/her call light and asks for an antiemetic (antinausea medication). C) A client falls while trying to transfer from his/her bed to a commode. D) A client accuses the student of prioritizing other clients over him/her.