Kevin is a nurse working with Debbie, a new nursing assistive personnel. Kevin is explaining to Debbie about the importance of repositioning immobile patients to prevent pressure ulcers. At a minimum, patients should be repositioned every:
A. 2 hours.
B. 3 hours.
C. 4 hours.
D. shift.
A
Immobilized patients require vigilant nursing care, such as repositioning at least every 2 hours, to avoid physical complications.
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The nurse is preparing to interview the hospitalized client. Which statements by the client's nurse indicate that the interview should be postponed?
Select all that apply. 1. "I can't seem to get her pain under control this morning." 2. "I just gave her morphine sulfate through her IV for pain about 20 minutes ago." 3. "She was anxious earlier and received some lorazepam." 4. "She's been oriented to 'self' only since admission." 5. "I gave her some ibuprofen about 1 hour ago."
Which statement made by the client who is at continuing risk for dehydration indicates adequate understanding of measures to take to prevent mild dehydration from becoming more severe?
A. "I will weigh myself daily." B. "When I feel light-headed, I will drink a glass of water." C. "I will decrease my fluid intake if my urine output increases." D. "If I forget to take my diuretic one day, I will take twice the dose the next day."
A patient is demonstrating a build up of urea. The nurse realizes that this build up is due to an impairment in which of the following functions of the liver?
1. fat metabolism 2. carbohydrate metabolism 3. vitamin synthesis 4. protein metabolism
Assessment of a patient reveals that the area directly under the heating pad is slightly red. How should the nurse respond?
a. Continue the therapy. b. Apply a cold compress. c. Reduce the amount of heat. d. Remove the pad and reassess in 5 minutes.