The nurse caring for a client in restraints can delegate which of the following activities to an unlicensed assistive personnel? (Select all that apply.)
a. Assistance with ADLs
b. Massaging reddened areas under the restraint
c. Providing for food and elimination
d. Range of motion, both active and passive
e. Turning and repositioning
A, C, D, E
Reddened areas under the restraint are immediately reportable by the unlicensed personnel to the registered nurse. All other options are activities the nurse can delegate.
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A patient, age 24, is recovering from a fractured tibia. She has been wearing a leg cast for the past month to immobilize the fracture and promote proper alignment
She is being seen at the clinic for follow-up radiographic evaluation of the fracture. The physician tells her that he is hoping for good callus formation to have occurred. When she asks what callus formation is, the nurse tells her it is a. when blood vessels of the bone are compressed. b. a part of the bone healing process after a fracture when new bone is being formed over the fracture site. c. the formation of a clot over the fracture site. d. when the hematoma becomes organized and a fibrin meshwork is formed.
A nurse is performing an admission assessment of a newly admitted hospital client and has documented the client as being a member of the Native American subculture. A subculture is best described as which of the following?
A) A cultural group that has less than 5 million members in the United States B) A unique cultural group with unspecified geographic origins C) A cultural group with values that are incongruent with those of the dominant culture D) A unique cultural group that exists within the larger culture
A prominent sign for about half of the clients with systemic lupus erythematosus is a red, butterfly-shaped rash on the face over the bridge of the nose and the cheeks
Indicate whether the statement is true or false
Which should you report to the nurse at once?
a. A breast-fed baby has a bowel movement with every feeding. b. A soft, unformed stool. c. The baby has 8 wet diapers in 1 day. d. A watery stool.