A client has a wound of the left lateral aspect of the thigh. Which action by the nurse promotes wound healing for this client?
A) Positioning to keep weight off of the wound
B) Positioning with weight directly on the wound
C) Restricting fluids
D) Enforcing strict bedrest
Answer: A
To promote wound healing, the client should be positioned to keep pressure off the wound, not directly on it. The client should be assisted in early ambulation and strict bedrest should not be enforced. Fluid restriction does not encourage wound healing.
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The patient has pertussis. What isolation precaution is correctly implemented?
a. Droplet b. Airborne c. Contact d. Protective
The nurse is caring for a patient hospitalized with hepatitis B. The family comes to visit and a family member asks the nurse if it is safe to visit. What is the nurse's best response?
A) "You seem fearful. Why do you think you are at risk?" B) "Don't worry, you will not contract the disease from the patient." C) "There is no risk unless you come in contact with blood and body fluids." D) "The patient should be isolated and have limited visitation."
A 55-year-old client is recuperating from a myocardial infarction. At a follow-up visit to his
physician's office, he tells the nurse practitioner "I have not had much interest in sex since my heart attack. My wife is wondering if something's wrong with me. The truth is, I know having sex puts a strain on my heart and I do not know if my heart is strong enough.". The nursing diagnosis for this client should be written as a. sexual dysfunction related to self-esteem disturbance. b. sexual dysfunction related to knowledge deficit resulting in fear. c. disturbed body image related to lifestyle changes resulting in anxiety. d. disturbed body image related to treatment side effects.
What factors should the older adult consider when planning an exercise program? (Select all that apply.)
a. Purchasing weights b. Wearing clothing appropriate to the type of exercise c. Considering membership in a health club d. Establishing realistic goals e. Committing time for consistent regular exercise