The nurse has completed the Braden Risk Assessment Scale on a client who has been diagnosed with a pelvic fracture and has not been able to get out of bed for the last 6 days. This morning the client's score is 10, so the nurse will institute which measures that will help prevent further skin injury? Select all that apply.
A. Bathe the client every day.
B. Use tepid water when bathing the client.
C. Position the client to allow the heels to hang over the bed.
D. Elevate the client's head 45 degrees.
E. Increase the humidity in the client's room.
Answer: E
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A female patient is experiencing hemianopia after her diagnosis of a right stroke. How might the nurse assist the patient manage her potential sensory and perceptional difficulties?
A) Keep the lighting in the patient's room low. B) Place the patient's clock on the affected side. C) Approach the patient on the side the vision is impaired. D) Place the patient's extremities where she can see them.
The nurse is providing holistic client care. This means the:
a. client's physical status is addressed. b. client's sociocultural status is addressed. c. client receives cost-effective care. d. mind, body, and spirit of the client are addressed.
The nurse learns that a new client is a former significant other and an initial session is scheduled for early in the afternoon. Which action should the nurse take to maintain professional boundaries?
The government agency that protects the health and safety of employees is the
A. Health Care Financing Administration (HCFA). B. Occupational Safety and Health Administration (OSHA). C. Centers for Disease Control and Prevention (CDC). D. Centers for Medicare and Medicaid Services (CMS).