Which nursing intervention is most likely to prevent complications in a client whose progres-sive systemic sclerosis is getting worse?
A. Applying lotion to dry skin areas
B. Encouraging the client to drink at least 3 liters of fluids per day
C. Ensuring that the client is in a high-Fowler's position during meals
D. Applying elastic wraps to the client's lower extremities before ambulation
C
As the disease progresses, many organs become involved. The esophagus loses its motility, and dysphagia and esophageal reflux result. These problems increase the client's risk for aspiration. Positioning during and immediately following meals can prevent the complication of aspiration.
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A nursing student is preparing a presentation on Erikson's developmental theory. The student wants to include in the presentation that Erikson's eight developmental stages are most closely aligned with:
1. Cognitive behaviorist concepts. 2. Maslow's theory of self-actualization and hierarchy of needs. 3. Freud's psychosexual stages. 4. Sullivan's stages of interpersonal development.
A 79-year-old white male tells a nurse, "I have felt very sad lately. I do not have much to live for. My family and friends are all dead, and my own health is failing.". The nurse should analyze this comment as:
a. normal pessimism of the elderly. b. evidence of suicide risk. c. a cry for sympathy. d. normal grieving.
When caring for a postoperative wound at home, what would a patient of German descent tend to use?
A. Iodine B. Kerosene C. Salves and liniments D. Onion compresses
In order to prevent suffocation, parents should be taught:
a. Store small objects in a box in the playpen b. Ensure crib slats are more than 2 3/8 inches apart c. Lift child immediately out of the crib if vomiting d. Avoid clothes with drawstrings or cords around the neck