The nurse is taking care of a 78-year-old comatose patient. The nurse has placed the patient in a supine position. To prevent foot drop, the nurse applies which of the following?
a. Pillows to dorsiflex the foot
b. Trochanter rolls to the feet
c. Foot boots as ordered
d. Pillows to elevate the feet
C
Avoid pressure on the back of the legs and heels—pillows elevating the feet or dorsiflexing the foot may cause increased pressure. Use a foot boot to prevent footdrop, maintain proper align-ment, and provide freedom of movement for the feet. When a patient is immobile, use pillows, trochanter rolls, and hand rolls or arm splints to increase comfort and reduce injury to the skin or musculoskeletal system.
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The nurse who collects data for the admission assessment asks questions about self-concept, including those that deal with Standard Text: Select all that apply
1. Career 2. IQ 3. Personal appearance 4. Coping abilities 5. Self care
An acutely ill patient is in a supine position. What approach should the nurse take to assess the patient's lung fields for a patient in this position?
A) Inform the health care provider that the patient is in a supine position and anticipate an order for a portable chest X-ray. B) Turn the patient on his or her side to assess all lung fields, so that dependent areas can be assessed for breath sounds. C) Avoid turning the patient, and assess the accessible breath sounds from the anterior chest wall. D) Obtain a pulse oximetry reading and, if the reading is low, reposition the patient and auscultate breath sounds.
The nurse is planning teaching for a group of people from Alcoholics Anonymous relating the risk factors for liver disease
The nurse plans to tell the group that the death rate for Native Americans from cirrhosis may be greater than other groups for which of the following reasons? 1. Climate 2. Pollution 3. Alcohol metabolism variations 4. Consuming alcohol with food
Which statement is true about the gate control theory of pain?
a. Small-diameter peripheral nerves transmit noxious stimuli to the CNS, and large-diameter peripheral nerves carry non-pain information and can inhibit nociceptor transmission in the spinal cord. b. Sensations of all types are carried on the same size peripheral nerves. Stimulating nerve fibers with other sensations will block pain. c. Pain stimuli are carried by large-diameter peripheral nerves. The gates on these nerves can be closed by administering analgesics. d. Both small- and large-diameter peripheral nerves carry pain impulses. Blocking small fibers with other stimuli will reduce the speed of pain impulse transmission.