To prevent injury to a pt during logrolling, which action by the nurse is most important?
a. Place an ankle foot orthotic on the pt prior to movement
b. Remove the pt's drawsheet to avoid lower extremity entanglement
c. Position a pillow between the pt's legs to maintain body alignment
d. Raise all four side rails prior to initiating logrolling independently
c. Position a pillow between the pt's legs to maintain body alignment
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A patient's history, physical exam, and pulmonary function testing have culminated in a diagnosis of chronic obstructive bronchitis
The nurse who is providing care for this patient will understand that the effects of the disease are primarily attributable to: A) Autoimmune of alveoli B) Chronic mucus hypersecretion C) A reduction in oxygen binding sites on erythrocytes D) Decreased respiratory drive
Which of the following statements best summarizes the dietary treatment of hyperlipoproteinemia?
1. Sugar is restricted for these clients because sucrose stimulates triglyceride production by the body. 2. Fat and cholesterol are the most important dietary components to regulate. 3. Alcohol in any form is forbidden for all clients with hyperlipoproteinemia. 4. Because all hyperlipoproteinemias are not the same, neither are the dietary treatments.
Clients with fractures, back surgeries, or joint replacements should be instructed to
A) Use a pull sheet with movement B) Log roll to the side of the bed C) Use the overhead trapeze D) Pull up with the headboard
The nurse is preparing a care plan for a client with a nursing diagnosis of Disturbed Sensory Perception. What would be appropriate goals for this diagnosis? Select all that apply
A) The client will demonstrate an understanding of contributing factors to disturbed sensory perceptions by reducing or eliminating them during the hospital stay. B) The client will not fall during the hospital stay. C) The client will develop an effective communication mechanism during the hospital stay. D) The nurse will use a communication board when speaking with the client. E) The nurse will assist the client with ADLs as needed during the hospital stay.