When moving Amy, a comatose elderly patient in the ICU, the nurse must be careful due to skin changes of the elderly, which include
A) an increased number of superficial blood vessels that can be fragile and can bleed.
B) increased density and activity of the sebaceous glands.
C) thinning of skin and a decrease in skin flexibility.
D) small lesions developing from aging that can easily be infected.
C
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What data are necessary to compile an effective end-of-shift report? (Select all that apply.)
a. Patient's mental status b. Status of lung sounds c. All pertinent nursing care d. The patient's favorite TV shows e. Visitors the patient had during the shift
A nurse is working with a client and establishing a therapeutic relationship. The nurse is aware that a good method of establishing rapport with a client is by conveying empathy with the client
Which response by the nurse best exemplifies empathy? 1. "I know just how you feel.". 2. "You seem to be frightened by the procedure.". 3. "I wouldn't be afraid, if I were you.". 4. "You shouldn't have done it that way.".
When titrating IV nitroglycerin (Tridil) for a patient with a myocardial infarction (MI), which action will the nurse take to evaluate the effectiveness of the medication?
a. Monitor heart rate. b. Ask about chest pain. c. Check blood pressure. d. Observe for dysrhythmias.
The client who has been diagnosed with cancer is to receive chemotherapy with both cisplatin (Platinol-AQ) and vincristine (Oncovin). The client asks the nurse why both medications must be given together
The nurse's response is based on the understanding that the purpose of using both medications is to: 1. Prevent the destruction of normal cells. 2. Increase the destruction of tumor cells. 3. Decrease the risk of the alopecia and stomatitis. 4. Increase the likelihood of erythrocyte and leukocyte recovery.