You are asked by another nursing assistant to help move a person up in bed and re-position her. She has reported all pertinent information to you about the patient and you proceed to the room to perform the move. You follow proper procedures including knocking before entering, providing privacy, properly introducing yourself to the patient, and explaining what you are going to do. Then you note
the only pad under the patient is a disposable single-use under-pad. What should you do?
What will be an ideal response?
Not all under-pads can be used as assist devices. They must be strong enough to support the patient's weight and large enough to extend from under the patient's head to at least above the knees. They must be wide enough for staff on both sides of the patient to get a firm grasp. Obtain a proper assist device such as a drawsheet, lift sheet, or reusable waterproof under-pad. Place the device using the turning and repositioning procedure and then resume the original reposition.
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A patient has been diagnosed with cytomegalovirus (CMV). Which of the following drugs would be ineffective in the treatment of this disease?
A) Ribavirin (Rebetol) B) Ganciclovir (Cytovene) IV C) Foscarnet (Foscavir) IV D) Valganciclovir hydrochloride (Valcyte)
The nurse prepares to discharge a client with deep venous thrombophlebitis. Which information does the nurse include in the teaching plan?
A) Bed rest should be maintained to prevent pulmonary emboli. B) Sitting instead of standing relieves pressure on the veins. C) Thromboembolism device (TED) hose should be worn to prevent venous stasis. D) Venous circulation is improved by decreasing activity.
Mr. Van is a 79-year-old widower who is being transferred to a long-term facility following hip replacement surgery
The nurse in charge of his care hopes to provide holistic nursing care for him based on his response to the interaction between his internal and external environment. This approach represents the model of care proposed by which of the following theorists? A) Dorothy Johnson B) Madeleine Leininger C) Dorothea Orem D) Myra Levine
A nurse is checking the respiratory rate of a toddler, previously admitted with asthma. The child is crying and upset by the hospital and the process of taking her v/s. What should the nurse do?
A. Note respiratory pattern and rate, including a comment that the child is crying. B. call the provider since the respiratory rate is 60 and extremely labored. C. Wait to assess respirations until the child is not crying. D. Measure the respiratory rate before the temperature.