Yolanda is a nursing student caring for Mrs. Gentry, a 77-year-old patient who has been hospitalized after a cerebrovascular accident. While bathing Mrs. Gentry, she noted a reddened area over her coccyx. What is the best thing for Yolanda to do?
A. Tell the health care provider about the area.
B. Massage over the skin to restore circulation.
C. Rub the area with a moisturizer.
D. Reposition Mrs. Gentry more frequently.
D
Perform skin assessment daily, paying special attention to the bony prominences. Do not massage reddened areas because reddened areas indicate tissue injury. Massage to these areas further injures the tissue by causing breaks in the tissue capillaries. Positioning interventions reduce pressure and shear to the skin. You change the immobilized patient's position according to activ-ity level, perceptual ability, and daily routines.
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The nurse is caring for a patient in the ICU who has been diagnosed with multiple organ dysfunction syndrome (MODS). The nurse's plan of care should include which of the following interventions?
A) Encouraging the family to stay hopeful and educating them to the fact that, in nearly all cases, the prognosis is good B) Encouraging the family to leave the hospital and to take time for themselves as acute care of MODS patients may last for several months C) Promoting communication with the patient and family along with addressing end-of-life issues D) Discussing organ donation on a number of different occasions to allow the family time to adjust to the idea
The nurse is preparing consent forms for a newly admitted older patient to sign. For which reasons would a general consent form be needed? Standard Text: Select all that apply
1. Help with feeding. 2. Provide medications. 3. Assist with bathing. 4. Perform all invasive procedures. 5. Participate with dressing after morning care.
Which of the following is not true about the storage of antiseptic and disinfectant agents on a hospital ward?
a. All containers must be labeled with the name and strength of the contents. b. Storage must be in an area away from persons who might accidentally or purposefully ingest the substances. c. Containers must be labeled as to whether the agent is safe for internal or external use. d. Over-exposure to the skin of many clients will cause irritation.
The nurse is monitoring the laboratory values of a child with leukemia who is receiving chemotherapy. The nurse prepares to implement bleeding precautions if the child becomes thrombocytopenic and the platelet count is less than _____ cells/mm3
1. 80,000 2. 100,000 3. 120,000 4. 150,000