When performing a skin assessment for pressure ulcers on an older man who is bedridden and prefers to lie on his right side, the nurse will pay special attention to his ______________________________________. (Select all that apply.)
a. right ear.
b. lateral edge of right foot.
c. sacrum.
d. medial edge of left foot.
e. right scapula.
ANS: A, B, D
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A client being discharged after treatment for nephritis is concerned about having adequate stamina to care for the children after discharge. Which statement made by the nurse would be most appropriate to address the client's concern?
A) "Tell your spouse he has to help you." B) "You will be able to keep up with your family's needs once you return home." C) It sounds like you need some help, so I'll contact Social Services for support." D) "Maybe your children should go and stay with a relative or neighbor for a few weeks."
A person's clothing is burned and hot. What should you do?
a. Remove the burned clothes. b. Cool the clothing with water. c. Put butter or oil on the burns. d. Cover the burn with a blanket.
A client has a serum calcium level of 12.0 mg/dL. The nurse suspects that the client is experiencing a pathophysiological process such as:
1. osteomalacia. 2. metastatic bone tumor. 3. hypoparathyroidism. 4. chronic renal disease.
Which of the following is NOT an example of cross-tolerance?
A. A barbiturate abuser having to drink more than usual before getting drunk B. An alcoholic needing a greater amount of anesthetic when undergoing surgery C. liquid heroin abuser needing increasingly higher doses when snorting it D. All of the above are examples