A client has developed blisters around the tape that secures the dressing. The nurse should
A) Apply tape to the side of the blisters
B) Use Montgomery straps
C) Apply the dressing with a binder
D) Apply skin barrier to protect skin
Ans: C
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A patient has been taking herbal remedies to decrease blood pressure. The patient is convinced that this has reduced his blood pressure and he refuses to take a prescribed antihypertensive medication
The nurse checks his blood pressure reading during an office visit, with the following results: Left arm: 130/94, 140/86, and 160/90 mm Hg. With this information, what is the nurse's best response to the patient's refusal to take antihypertensive medications? a. "I see that you are correct; your blood pressure readings do not indicate hypertension." b. "Your blood pressure is elevated, so you will need to take a prescribed antihypertensive." c. "Your blood pressure is within normal limits and does not need anything for it." d. "Your blood pressure is elevated. It is important to discuss this with your doctor."
A nurse assesses the pregnant woman for recreational drug use as part of the first prenatal visit. What harmful effects of recreational drugs does the nurse teach the woman about? (Select all that apply.)
A. Cocaine: placenta previa B. Ecstasy: cleft palate C. Marijuana: intrauterine growth restriction D. Methamphetamine: spontaneous abortion E. Heroin: macrosomia
A patient had wrapped a tummy band around her newborn's abdomen. What should the nurse say to the new mother?
a. "Can you explain to me the purpose of wrapping a band around the baby's tummy?" b. "In the hospital, we prefer to expose the umbilical cord to air so it's easier to put medication on it as it dries up." c. "Let me put some medication on the baby's cord, and then I'll put the tummy band back." d. "Please remove that band; it is not helpful as the umbilical cord needs to be kept clean and dry."
A patient admitted with a conversion disorder after an automobile accident insists he is paralyzed, although no physical cause for his paraplegia can be found
What is the best nursing response when the patient asks the nurse to push him to his room? a. "There is nothing wrong with your arms. Roll yourself to your room." b. "I will help you to walk to your room. I know you can walk." c. "Let me lift the foot rests so you can move your chair with your feet." d. "OK. I am going that way myself."