You are bathing a patient. You note a reddened area on the person's left shoulder. What should you do?
a. Massage the area during the back massage.
b. Report the observation to the nurse.
c. Apply powder to the site.
d. Rub the area.
B
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A home health nurse visits a patient with COPD who is on constant oxygen therapy and very demanding. The wife has cared for this patient for 6 years. When the nurse asks about her sleep the wife responds, "I don't need much sleep anymore
I must be able to hear if he calls out during the night.". Select the nurse's most therapeutic response. a. "It sounds like you are very devoted to your husband.". b. "Your husband is lucky to have you to caring for him rather than being placed in a nursing home.". c. "If you keep going like this, your health will be impaired also. Then who will take care of both you and your husband?" d. "I noticed you fell asleep while I was assessing him. Sleep deprivation can lead to accidents. I'm concerned about both of you.".
Which of the following should take priority in a patient with MODS secondary to severe sepsis?
1. pO2 of 54 mmHg 2. WBC count of 28,000 cell/cubic mm 3. Serum lactate level is 2 mmol/L 4. Blood glucose of 245 mg/dL
A patient is admitted to the labor and delivery unit with contractions that are 2 minutes apart, lasting 60 seconds. She reports that she had bloody show earlier that morning
A vaginal exam reveals that her cervix is 100 percent effaced and 8 cm dilated. The nurse knows that the patient is in which phase of labor? 1. Active 2. Latent 3. Transition 4. Fourth
A single parent is experiencing feelings of inadequacy related to work and family since one teenaged child ran away several weeks ago. The parent seeks the help of a therapist specializing in cognitive therapy
The psychotherapist who uses cognitive therapy will treat the patient by: a. discussing ego states b. focusing on unconscious mental processes c. negatively reinforcing an undesirable behavior d. helping the patient identify and change faulty thinking