A nurse is working in a long-term care facility. The nurse knows that immobilized patients are at risk for pressure ulcer development primarily as a result of:
A. mobility.
B. inadequate nutrition.
C. sensory perception.
D. protein buildup in tissues.
B
Immobile patients are prone to shearing and friction. A decrease in sensory perception will cause a patient to develop pressure ulcers because of lack of sensation. Poor nutrition, specifically se-vere protein deficiency, causes soft tissue to become susceptible to breakdown.
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The nurse is planning care for a group of patients from different cultural backgrounds. What aspects of the nurse will impact how the patients access and respond to health care services?Select all that apply.Note: Credit will be given only if all correct choices and no incorrect choices are selected.
A. Cultural background B. Heritage C. Language D. Role E. Age
Using Freud's personality theory, what action by a patient identifies the influence of the superego?
a. Eating an entire chocolate pie b. Becoming anxious about having no visitors c. Monopolizing the attention of the physician d. Returning a $5 bill that another patient left on the table
Which of the following statements made by an older-adult client poses the greatest concern for the nurse conducting an assessment regarding the client's adjustment to the aging process?
1. "I use to enjoy dancing and jogging so much, but now I have arthritis in my knees so that it's hard to even walk." 2. "I've given my grandchildren money for college so they can live a better life than I had." 3. "Growing old certainly presents all sorts of challenges. I wish I knew then what I know now." 4. "As I age I've found its harder to do the things I love doing, but I guess it will all be over soon enough."
A patient may need restraints. Which task can the nurse delegate to a nursing assistive personnel?
a. Determining the need for restraints b. Assessing the patient's orientation c. Obtaining an order for a restraint d. Applying the restraint