Which of the following interventions to decrease the risk of seizure-related injury can you
delegate to the nursing assistive personnel (NAP)? Select all that apply.
a. Keeping D.H.'s bed in low position
b. Reorienting D.H. as needed to the environment
c. Setting up oxygen and suction equipment at the bedside
d. Ensuring that D.H.'s call light is within easy reach at all times
e. Teaching D.H. why he should not get up without assistance if he is dizzy
a, b, c, d
The NAP can set up the equipment for oxygen and suctioning. The RN should perform initial
teaching about why D.H. should not get up without assistance; the NAP can reorient D.H. as needed
to the environment. All care providers should be mindful to keep the bed in low position and the call
bell within easy reach.
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Maslow's hierarchy of needs is based on the premise that:
a. all needs are equally important. b. basic needs must be met before the next level of needs can be met. c. self-actualization is a primary need. d. individuals prioritize needs the same way.
On which of the following levels of care do most faith community nurses (FCNs) focus?
a. Hospice care b. Primary c. Secondary d. Tertiary
A patient is diagnosed with valvular heart disease after experiencing rheumatic heart fever. The nurse understands this disorder is caused by what action?
1. molecular mimicry 2. release of hidden antigens into the circulation 3. biologic changes that cause self-antigens to produce autoantibodies 4. autoimmune response by slow-growing mycobacteria
Which does the nurse implement to apply a moist-to-dry dressing?
1. Apply dry absorbent outer dressing. 2. Pack flat gauze into the wound bed. 3. Soak wound packing with antiseptic. 4. Moisten old dressing before removal.