The nurse admits a 65-year-old client diagnosed with asthma receiving steroids every six hours. A priority nursing concern for this client is which of the following?
1. Edema in the feet and legs
2. Urinary function
3. Skin integrity
4. Mental status
3
Rationale: The 65-year-old client taking steroids increases the risk of alteration of skin integrity because steroids cause thinning of the skin. The nurse plans skin assessments and appropriate skin care as a priority for this client. The other options are not primary concerns for this client.
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A nurse reads on a hospitalized client's chart that the client is receiving teletherapy. What action by the nurse is best?
a. Coordinate continuation of the therapy. b. Place the client on radiation precautions. c. No action by the nurse is needed at this time. d. Restrict visitors to only adults over age 18.
Which statement describes the benefits of integrating psychobiology into nursing care?
1. A psychobiologic approach enables the nurse to modify assessments, diagnoses, interventions, and evaluations of clients' response patterns. 2. A psychobiologic approach is not compatible with the nursing process. 3. A psychobiologic approach will provide a theoretical framework from which to practice. 4. A psychobiologic approach is utilized only by physicians.
What is the rationale for the use of activated charcoal in a patient who has ingested poison?
a. It facilitates excretion. b. It reduces absorption. c. It binds antidotes. d. It induces vomiting.
The nurse needs to irrigate the NGT. Which does the nurse implement first to prevent complications?
1. Introduce 30 ml of fluid. 2. Verify the tube placement. 3. Aspirate gastric contents. 4. Position client on the side.