The nurse assessing a patient's skin for signs of impaired skin integrity knowing that a major manifestation is a(n):
a. burn.
b. laceration.
c. pressure ulcer.
d. infection.
C
A major manifestation of impaired skin integrity is a pressure ulcer.
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A client is prescribed pain medications. Which of the following interventions will enable the client to consume an adequate meal during treatment?
A) Administer the medication with plenty of fruit juice. B) Administer the medication intravenously. C) Administer the medication 30 to 45 minutes before meals. D) Administer the medication 30 to 45 minutes after meals.
An elder Hispanic patient in progressive shock lingers on the verge of death. The nurse must understand some of the cultural influences of the family, and the patient must be especially respected at this time
In general, the patient's cultural background dictates that the medical team should: 1. allow any and all cultural rituals. 2. remind the family that the patient can be comforted by their familiar voices. 3. restrict the ministrations of the folk healer. 4. suggest that small children not see the patient.
The measurement of lecithin in relation to sphingomyelin (L/S ratio) is used to determine fetal lung maturity. Identify which ratio below is considered to be mature
1. 4:1 2. 1.8:1 3. 2:1 4. 1:1
The client is being seen for the first time by the home health nurse. The nurse determines that the client will need speech therapy, physical therapy, and custodial care several times a week. When can the client's care begin?
1. As soon as the nurse completes the initial assessment 2. As soon as the client agrees to the care. 3. When the physician signs the plan of care the nurse develops 4. Within 48 hours of the nurse's visit