The nurse notes that the left arm of a client who has experienced a brain attack is in a contracted, fixed position. Which complication of this position does the nurse monitor for in this client?
a. Shoulder subluxation
b. Flaccid hemiparesis
c. Pathologic fracture
d. Neglect syndrome
A
Hypertonia causing contracture or flaccidity can predispose the client to subluxation of the shoulder. Contractures are stiff and immobile—not flaccid. Contractures are not caused by frac-tures or neglect syndrome.
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Fill in the blank(s) with correct word
The nurse needs to fax confidential patient information to another office. What actions should the nurse take when faxing this type of information? Select all that apply.
1. Use a cover sheet. 2. Obtain patient permission to fax. 3. Include a confidentiality statement. 4. Verify the fax number before faxing. 5. Print the patient's name on the cover sheet.
A client with a colostomy has been taught and successfully demonstrated colostomy care. The doctor has given the client permission to change the apparatus, but the charge nurse instructs the staff to perform colostomy care
When the client does not object to the staff performing care, the nurse caring for the client encourages the client to respond to the charge nurse by stating: 1. "I have been trained to change the apparatus, and I want to continue.". 2. "You have no right to treat me this way. I have been trained to change the apparatus.". 3. "I will report you to the doctor who said I could change my own apparatus.". 4. "I will change my own apparatus whether you like it or not.".
The nurse is reviewing the physiology of the respiratory system with a patient being treated for pneumonia. What structure should the nurse identify as sweeping mucus and pathogens from the nasal cavities and trachea to the pharynx?
a. Ciliated epithelium b. Alveolar macrophages c. Elastic connective tissue d. Simple squamous epithelium