Jeannie is a nurse who works in a nursing home. One of the patients, 83-year-old Mrs. Stoll, is bedridden
Jeannie needs to pull her up in bed and instructs Fiona, the student nurse who is with her, that they need to make sure that they use the draw sheet to pull her up to avoid which of the following factors that would contribute to pressure ulcer formation? A. Hyperemia
B. Shear
C. Tissue ischemia
D. Cachexia
B
Shear is the force exerted against the skin while the skin remains stationary and the bony struc-tures move. For example, when the head of the bed is elevated, gravity causes the bony skeleton to pull toward the foot of the bed, while the skin remains against the sheets.
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A patient presents in the emergency room complaining of severe pain in his eye, and is seeing halos around lights and feeling nauseous. You suspect that he may be experiencing:
1. open-angle glaucoma. 2. angle-closure glaucoma. 3. cataracts. 4. retinal detachment.
Which intervention may decrease the incidence of physiologic jaundice in a healthy full-term infant?
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When educating patients who are starting on inhaled corticosteroids, the provider should tell them that:
1. They need to get any live vaccines before starting the medication. 2. Inhaled corticosteroids need to be used daily during asthma exacerbations to be effective. 3. Patients should rinse their mouths out after using the inhaled corticosteroid to prevent thrush. 4. They can triple the dose number of inhalations of medication during colds to prevent needing systemic steroids.
A nurse is developing a plan of care for an older client who is being admitted to a long-term care facility. Which intervention should the nurse include in the plan of care to help maintain an appropriate bowel elimination pattern?
A. Limiting vegetable intake to one serving per day B. Limiting whole grains to three servings per week C. Providing cooked fruits such as prunes or apricots D. Including spicy foods in the diet to increase peristalsis