Your client is lying on a bed with plastic sheets. What potential nursing diagnosis does this knowledge suggest?
1. Impaired skin integrity
2. Risk for impaired skin integrity
3. Disuse syndrome
4. Risk for disuse syndrome
ANS: 2
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When assessing lung sounds, the nurse applies the chest piece to the client's upper back, but avoids placing it over the scapulae or ribs. How does this intervention help in the assessment?
A) Helps to clear the air passages and open the alveoli. B) Reduces sound from air turbulence and prevents hyperventilation. C) Minimizes pain or discomfort to the client. D) Facilitates hearing sounds in the upper and lower lobes.
Why is it important for a nurse to inquire about any foreign travel of a client with a suspected lymphatic or hematologic disorder?
A) To determine the varied sexual history of the client, if any B) To determine the potential exposure to infectious agents C) To determine if the client has had any blood transfusions D) To determine if the client adopted any specific dietary habits
In monitoring a premature newborn's respiratory status, which assessment finding would provide the nurse with the earliest indication of respiratory difficulty?
a. Bluish color of hands and feet c. Nasal flaring b. Irregular respirations d. Respiratory rate of 56/min
Which of the following can a nurse do to improve her own health and self-care?
a. Meditate b. Exercise c. Never call off from work d. Structure time to maximize task completion