The nurse assesses a patient in a Posey safety reminder device (SRD) for which problem(s) that may increase because of use of SRDs? (Select all that apply.)
a. Immobility
b. Restlessness
c. Risk for impaired circulation
d. Risk for skin impairment
e. Incontinence
A, B, C, D, E
The use of SRDs increases a patient's immobility, restlessness, risk for skin impairment, risk for impaired circulation, and incontinence.
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A patient diagnosed with H pylori asks the nurse, "How an infection can occur in the stomach since it is an acid environment?" The nurse responds,
A) "We have many infectious agents that can live in an acidic environment with a pH more than 8.0." B) "H. pylori is a virus and is still being researched as to how it is able to survive in the stomach acids." C) "H. pylori produces an enzyme called urease that converts gastric juices into ammonia, which neutralizes the acidic stomach environment." D) "This parasite secretes an enzyme called coagulase, which protects the pathogen from the antibodies."
Which is an appropriate question to ask a patient of another culture when assessing communication?
1) "Who is considered the head of your household?" 2) "What are some of your gender roles during this time of your life?" 3) "How would you like your healthcare providers to address you?" 4) "Does your culture practice a caste system?"
The nurse is caring for a laboring client with thrombocytopenia. During labor, it is determined that the client requires a cesarean delivery. The nurse is preparing the client for surgery, and is performing preoperative teaching
The nurse should instruct the client that which method of anesthesia is recommended? A. General anesthesia B. Epidural anesthesia C. Spinal anesthesia D. Regional anesthesia
A client is receiving norepinephrine (Levophed). The nurse knows vital signs must be continually monitored to watch for which effect?
1. Hypertension 2. Bradypnea 3. Oliguria 4. Tachycardia