The nurse admits an older adult patient to the long-term care facility. When assessing for pressure ulcer risk, what should the nurse do after conducting the first Braden scale assessment?
a. Apply transparent film dressings to buttocks.
b. Reassess using the Braden Q scale.
c. Conduct another assessment in 3 days.
d. Massage areas over the bony prominences.
ANS: C
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A seven-year-old girl has been clinging to her mother and refusing to go to school. The child is diagnosed with separation anxiety disorder, and the treatment plan will include cognitive-behavioral therapy (CBT)
The nurse would explain to the parents that CBT will include: Standard Text: Select all that apply. 1. Self-talking. 2. Relaxation. 3. Hypnosis. 4. Anti-depressant medications. 5. Recognition of feelings.
A trauma patient in the ICU has been declared brain dead. What diagnostic test is used in making the determination of brain death?
A) Magnetic resonance imaging (MRI) B) Electroencephalography (EEG) C) Electromyelography (EMG) D) Computed tomography (CT)
The nurse should begin the assessment of the toddler by:
A) Doing the most painful sections first. B) Explaining that the assessment won't be painful. C) Engaging the toddler in games to develop rapport. D) Talking to the parent.
The nurse is preparing a dose of parenteral iron (iron dextran) for a client with severe resistant anemia. The nurse is aware of the major adverse reaction that can accompany intravenous ferric gluconate
Which assessment parameters will the nurse attend to most closely? 1. Respiratory status and blood pressure 2. Balance and mobility 3. Level of consciousness and spontaneous movement 4. Temperature and muscle tone