After comparing the benefits of the following support surfaces, the nurse realizes that a patient with multiple trauma and/or spinal cord injury is expected to be placed on a(n):
a. Rotokinetic bed.
b. bariatric bed.
c. flotation mattress.
d. air-fluidized mattress.
A
The Rotokinetic bed provides skeletal alignment and constant rotation and is used for patients with multiple trauma and spinal cord injury. Use of the bariatric bed is contraindicated in patients with spinal cord injury. Flotation mattresses and air-fluidized mattresses are contraindicated for patients with an unstable spine.
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A patient is being evaluated for possible atopic dermatitis. The nurse expects elevation of which laboratory value?
a. IgE b. IgA c. Basophils d. Neutrophils
The nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who is experiencing increasing respiratory difficulty. The client has refused being placed on a mechanical ventilator and the nurse is aware that which would provide possible respiratory assistance to this client?
A. Place an endotracheal tube without the use of a mechanical ventilator. B. Provide supplemental oxygen using a Venturi face mask. C. Put a nonrebreather mask on the client to help him breathe. D. Place the client on a bilevel positive airway pressure (BiPAP) machine.
After the patient returns from surgery, you should take the vital signs
A. immediately, then every 5 minutes thereafter. B. immediately, then every 15 minutes for an hour or until stable. C. immediately, then every 30 minutes for 2 hours. D. hourly for the remainder of the shift.
A client tells the nurse that he has started to take an OTC antihistamine, diphenhydramine. In teaching him about side effects, what is most important for the nurse to tell the client?
a. Do not to take this drug at bedtime to avoid insomnia. b. Avoid driving a motor vehicle until stabilized on the drug. c. Nightmares and nervousness are more likely in an adult. d. Limit use to 1 to 2 puffs/sprays 4 to 6 times per day to avoid rebound congestion.