Which nursing intervention is recommended to prevent nosocomial pneumonia?
A) frequent repositioning.
B) HOB 45 degrees.
C) prone positioning only.
D) suctioning q 2 hours.
B
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The nurse is planning the care of a patient with a diagnosis of vertigo. What nursing diagnosis risk should the nurse prioritize in this patient's care?
A) Risk for disturbed sensory perception B) Risk for unilateral neglect C) Risk for falls D) Risk for ineffective health maintenance
A dying client's family members are spending time with the client. What instruction is best to give to family members regarding noise in the client's room?
a. "Remember that she cannot hear you." b. "Try to get her to talk or respond to you." c. "Avoid making any noise when you are with her." d. "Talk in your normal speaking voice."
Mrs. Long is taking phenelzine (Nardil) to treat her depression. She is at a local café for lunch with a friend. Which of the following items on the menu should Mrs. Long not order?
A) Roast beef, mashed potatoes, and gravy B) A Cobb salad with blue cheese and Roquefort salad dressing C) Scrambled eggs, toast, and grape jelly D) Medium-well charbroiled steak, french fries, broccoli, and iced tea with sugar
The nurse is assessing an older adult client who has come to the emergency department with a possible urinary tract infection. Which would alert the nurse that this client has been abused?
A. The right knee has a large bruise. B. The underwear smells of urine. C. There are bilateral contusions above the elbows. D. There are small lacerations on the forehead.