Prevent pressure ulcers on the heels and feet by
A. applying heel protectors when the patient is in bed.
B. putting socks on the feet when the patient is in bed.
C. putting pillows under the feet.
D. suspending the feet off the surface of the bed.
Answer: D
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The nurse is assessing a 13-year-old girl. Which of the following events would the nurse expect to have occurred first?
A) Evidence of pubic hair B) Development of breast buds C) Onset of menses D) Growth spurt
Which statement by a patient recently diagnosed with acute myelogenous leukemia indicates that the patient does not understand the staging process?
A) "Staging helps my doctors plan my treatment." B) "Staging will help determine my prognosis." C) "Staging can help the doctors determine how long I have to live." D) "Staging is useful for research on my type of cancer."
The patient who had an emergency abdominal surgery looks at his incision on the first postoperative day and says, "I sure hope this doesn't leave much of a scar. Is there some type of medicine or ointment I can put on it?"
What should the nurse consider prior to responding to that comment? 1. This incision will heal by primary intention and will probably leave only a hairline scar. 2. This incision will fill in with granulation tissue and leave a moderately big scar despite any medication applied. 3. This incision was done in an emergent fashion but continuous application of steroid creams will prevent scarring. 4. This incision will have to be reclosed later and will leave a large scar unless a topical antibiotic is used continuously.
A client has been using the call light routinely throughout the evening. Upon entering the room, the nurse observes the following details. Organize them according to priority sequencing (1 is first priority; 5 is least priority)
1. Family is at bedside. 2. The IV pump is running on battery. 3. ECG monitor shows tachycardia. 4. Client reports being restless. 5. O2 tubing is not attached to wall regulator.