To reduce the chance of external hip rotation in a client on prolonged bed rest, the nurse should implement the use of which following device?
a. Footboard
b. Trochanter roll
c. Trapeze bar
d. Bed board
B
A trochanter roll prevents external rotation of the hips when the client is in a supine position.
The footboard prevents footdrop by maintaining the feet in dorsiflexion.
The trapeze bar allows the client to pull with the upper extremities to raise the trunk off the bed, to assist in transfer from bed to wheelchair, or to perform upper arm exercises.
A bed board is used to increase back support and alignment, especially with a soft mattress.
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The nurse uses his hands to direct energy fields surrounding the patient's body. After this intervention, the patient states that his pain has lessened. How should the nurse document the intervention?
1) Tactile distraction was performed and appeared effective in reducing pain. 2) Guided imagery was effective to relax the patient and reduce the pain. 3) Therapeutic touch was performed; patient verbalized lessening of pain after treatment. 4) Sequential muscle relaxation was performed; patient states pain is less.
While conducting the first prenatal health history visit, the nurse learns that a pregnant patient is taking various herbal remedies and over-the-counter medications for minor ailments
Which nursing diagnosis should the nurse identify as being appropriate for the patient at this time? A) Risk for injury to fetus related to lifestyle choices B) Deficient knowledge regarding exposure to teratogens during pregnancy C) Health-seeking behaviors related to strong cultural desire to have a healthy child D) Health-seeking behaviors related to guidelines for nutrition and activity during pregnancy
The nurse obtains a pulse oximetry reading of 95% on a client 2 days postoperative. Which of the following actions should be taken by the nurse?
A) Encourage client to do more coughing and deep breathing. B) Increase level of oxygen delivery by 1 L/min. C) Document the findings. D) Recheck the pulse oximetry after ambulating client.
Explain the underlying principle of the Monoamine Theory of Mental Depression.
A. Low levels of norepinephrine and serotonin, which are referred to chemically as the monoamines, lead to depression. B. Low levels of norepinephrine and dopamine, which are referred to chemically as the monoamines, lead to depression. C. Low levels of epinephrine and serotonin, which are referred to chemically as the monoamines, lead to depression. D. None of the above are correct.