Which of the following is the priority nursing intervention for a client at risk for impaired integumentary needs?
a. order a pressure-relieving device
b. frequent repositioning
c. request an order from the physician for skin protection creams
d. request an order from the physician for a special air-fluidized bed
B
For a client at risk for impaired integumentary needs, no device replaces timely repositioning and assessing for skin breakdown.
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A) "We expect this treatment to cause short seizures." B) "We expect this treatment to cure the client." C) "We expect this treatment to restore a chemical balance within the brain." D) "We expect this treatment to make the patient sleep for a period of time."
A client is receiving the first dose of sargramostim (Leukine). Which assessment findings should the nurse evaluate as indicating a possible serious adverse effect of this drug?
Standard Text: Select all that apply. 1. Increased blood pressure 2. Tachycardia 3. Difficulty breathing 4. Yellowing of the mucous membranes 5. Rash on the palms