A nurse recognizes that a shampoo may be contraindicated for a bed-bound client with:
A. Heart disease
B. Diabetes mellitus
C. A head injury
D. A bleeding disorder
C
C. Positioning and manipulation of the client's head during a shampoo are contraindicated in clients with head and neck injuries.
A. Heart disease does not mean a shampoo is contraindicated.
B. A shampoo is not contraindicated for clients with diabetes mellitus.
D. A shampoo is not contraindicated for clients with a bleeding disorder.
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When is it appropriate for the nurse to use an otoscope during a physical assessment?
Select all that apply. 1. Inspecting the nose. 2. Funneling light into the ear canal. 3. Inspecting the internal structures of the eye. 4. Assessing pulses that are not palpable. 5. Detecting fungal infections of the skin.
The nurse is providing health education to a patient scheduled for a colonoscopy. The nurse should explain that she will be placed in what position during this diagnostic test?
A) In a knee-chest position (lithotomy position) B) Lying prone with legs drawn toward the chest C) Lying on the left side with legs drawn toward the chest D) In a prone position with two pillows elevating the buttocks
The family members of a patient on the psychiatric unit ask to speak with the nurse. They report that the patient has visual hallucinations and want to understand the cause
What would be the most appropriate response from the nurse about common causes? A) Multiple sclerosis, alcohol withdrawal, and medication side effects B) Medication side effects, alcohol withdrawal, and Parkinson's disease C) Parkinson's disease, medication side effects, and amphetamine withdrawal D) Narcotic withdrawal, multiple sclerosis, and head injury
The nurse is assisting in performing a viral load (HIV-RNA) test to measure how virulent the HIV is in a client diagnosed with AIDS. Which of the following information regarding this testing is accurate?
A) A person who is not infected with HIV has a minimum viral load. B) Clients with controlled HIV may have readings as high as 1,000,000 copies. C) An undetectable reading is considered an excellent response to therapy. D) The inability to detect the virus in the blood indicates a person is no longer infected.