Which implementation is appropriate in the care plan for a visually impaired person?
a. Leaving the bed in the highest position
b. Keeping the door closed
c. Announcing your presence when you enter and leave the room
d. Leaving the radio on all the time to help the patient know the time of day
C
The nurse should announce her or his presence in the room and address the patient before touch-ing him or her. The bed should be in the lowest position, and the door should be open to avoid social isolation.
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When planning care for a client at risk for developing pressure ulcers, which intervention should be included? Select all that apply
A) Initiate a frequent toileting schedule. B) Raise the heels off of the bed. C) Turn the client every 4 hours. D) Use inflatable doughnut-style devices to reduce pressure on the sacrum. E) Massage pressure areas with lotion every 4 hours.
The informatics nurse is reviewing the International Classification of Diseases (ICD-10) codes identified for a patient's care. For what should the nurse evaluate each code? Select all that apply.
A) Cause B) Severity C) Wounds D) Medications E) Anatomical location
Which laboratory value indicates to you that the client may have allergic asthma?
A. Eosinophil count of 1200 cells/mm3 (13%) B. Total white blood cell count of 9080 cells/mm3 (100%) C. Total absence of macrophages in the differential white blood cell count D. Band neutrophil count of 2880 cells/mm3 (32%) and a segmented neutrophil count of 1980 cells/mm3 (22%)
To assess the mental status of a 9-month-old ICU patient, the nurse could assess for
A) a Babinski reflex. B) a positive Kernig's sign. C) spontaneous arousability. D) intact cranial nerves.