Which of the following advice should the nurse give a client with impaired physical mobility to prevent maceration and decrease the potential for bacterial growth?
A) Massage frequently. C) Change position frequently.
B) Keep the skin clean and dry. D) Use pressure-relieving devices.
B
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Which assessment finding should the nurse expect to observe on an immobilized patient?
a. Increased serum glucose levels b. Decreased urine excretion c. Positive nitrogen balance d. Increased serum potassium levels
For the client with compulsive hand washing, which outcome indicator can be used to evaluate that
social interaction is occurring? The client a. asks for anxiolytic medication when anxiety increases. b. spends time talking to staff and clients in the lounge area. c. decreases the amount of time spent hand washing. d. sleeps 7 to 8 hours nightly.
A client is taking cortisone. The nurse schedules the medication with food because cortisone can have which effect on gastric mucosa when given on an empty stomach? Cortisone will cause
a. dramatically increased gastric pH. b. increased amount of GI secretions. c. increased transit time of GI contents. d. susceptibility of the mucosa to injury.
Rest is a state where the individual:
a. naps for a period of time. b. sleeps for a period of time. c. is relaxed for a period of time. d. all of the above.