The nurse is planning to delegate foot care to the NAP for three of her four patients. Which patient should she do the foot care for?
a. Postoperative hip fracture
b. Diabetic patient
c. Post head injury
d. Pneumonia patient
B
The skill of foot and nail care may be delegated to nursing assistive personnel (NAP) except for patients with diabetes or patients with peripheral vascular disease or circulatory compromise.
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The nurse caring for a patient post colon resection is assessing the patient on the second postoperative day
The nasogastric tube (NG) remains patent and continues at low intermittent wall suction. The IV is patent and infusing at 125 mL/hr. The patient reports pain at the incision site rated at a 3 on a 0-to-10 rating scale. During your initial shift assessment, the patient complains of cramps in her legs and a tingling sensation in her feet. Your assessment indicates decreased deep tendon reflexes (DTRs) and you suspect the patient has hypokalemia. What other sign or symptom would you expect this patient to exhibit? A) Diarrhea B) Dilute urine C) Increased muscle tone D) Joint pain
A nurse is planning a program to teach participants measures to prevent skin damage from sun exposure. What concepts should be included in the program?
A) Wetting fabrics when the sun is hot will reduce the amount of radiation that is able to damage the skin through the clothing. B) The key times to avoid the sun are between noon and 2 pm. C) Wearing navy or black is safer than wearing lighter colors. D) The use of sunscreen with a sun protection factor of 10 is needed to provide safety.
A client is experiencing a multisystem fluid volume deficit after hemodialysis. The nurse assesses the symptoms present as tachycardia; pale, cool skin; and decreased urine output
The nurse determines that the client has not met the expected outcome for a client on hemodialysis, which would be to experience: 1. A reduction of extracellular fluid. 2. The pharmacological effects of a diuretic infused in the dialysate. 3. The effects of rapidly infused intravenous fluids. 4. Cardiac failure.
The nurse is providing care to a lesbian postpartum client and her life partner. Which nursing actions are appropriate when providing care to this couple? Select all that apply
1. Providing the couple with the same rights and care as those given to heterosexual couples 2. Educating the couple about heterosexual contraception during the postpartum period 3. Teaching the couple about when it is safe to resume sexual relations 4. Encouraging the couple to join a support group of other postpartum lesbian couples 5. Expecting the nonpregnant partner to assume the role of father