The nursing diagnosis Risk for Impaired Skin Integrity related to sensory-perception disturbance would best fit a client who:
a. Cut a foot by stepping on broken glass.
b. Uses a wheelchair due to paraplegia.
c. Wears glasses because of poor vision.
d. Is legally blind and smokes in bed.
Ans: b. Uses a wheelchair due to paraplegia.
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A nurse is performing health education with a woman who has just learned that she is pregnant
The nurse has explained the concept of teratogenic drugs and emphasized the need to have her care provider assess any medications she should consider taking. The nurse should teach the woman that drug-induced teratogenicity is most likely to occur at what point in her pregnancy? A) During the second half of her third trimester B) In the 7 to 10 days after conception C) In the first trimester during organogenesis D) During 30 to 34 weeks of gestation
A patient is given midazolam (Versed) in combination with an opioid in the preoperative phase before a laparoscopic cholecystectomy. What does the administration of midazolam (Versed) assist in minimizing?
A) Oral secretions B) Anxiety C) Hypotension D) Muscle tone
To prevent pressure ulcers a bedridden, elderly adult, which intervention should the nurse include in the care plan?
A) Turn and reposition the patient a minimum of every 8 hours. B) Vigorously massage lotion into bony prominences. C) Post a turning schedule at the patient's bedside. D) When turning, slide the patient rather than lift.
The nurse would explain to a client that the most common cause of secondary hypertension is
a. chronic renal disease. b. oral contraceptive use. c. pregnancy. d. primary hyperaldosteronism.