Nursing measures to prevent integumentary complications include which of the following? Select all that apply
1. Maintaining adequate nutrition
2. Using mild soaps for cleansing the skin
3. Repositioning in bed at 4-hour intervals
4. Vigorously drying the skin after bathing
5. Inspecting bony prominences at least every 2 hours
ANS: 1, 2, 5
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A psychiatric technician says, "Common sense is the most important part of working with people who have mental illness. Theories are just something to fill up textbooks."
The nurse wants to educate the technician by identifying which common use of Sullivan's theory? a. The method nurses use to determine the best sequence for nursing actions b. The ongoing use of restraint and seclusion as behavior-management tools c. The structure of the therapeutic milieu of most behavioral health units d. Assessment tools based on age-appropriate versus arrested behaviors
The client has been admitted to the healthcare facility with pneumonia. Which constituent of blood destroys pathogens and develops immunity to diseases?
A) Platelets B) Thrombocytes C) Erythrocytes D) Leukocytes
The nurse is reviewing the menstrual cycle with a client who is experiencing menstrual irregularities. The nurse teaches that during the menstrual cycle, the majority of progesterone is secreted by the:
1. hypothalamus. 2. corpus luteum. 3. ovarian follicle. 4. anterior pituitary gland.
Data collection findings for a patient involved in a motor vehicle accident include pale mucous membranes, diaphoresis, confusion, blood pressure 88/48 mm Hg, irregular heart rhythm, and metabolic acidosis
Which of these does the nurse recognize as the likely cause of this acidosis? a. Inadequate ventilation b. Hyperventilation c. Aerobic metabolism d. Anaerobic metabolism