In developing an end-of-life plan of care for the client, the nurse identifies which of the following hygiene goals as appropriate?
A)
Involve the client in 30% of her bath daily.
B)
Involve family in hygiene care daily to maintain clean, dry skin.
C)
Maintain clean skin by providing daily whirlpool baths.
D)
Provide hourly sponge baths for end-of-life comfort.
B
Explanation:
A)
Involving the family gives them the opportunity to say good-bye and prepares them for the grieving process. The other options aren't realistic; hourly sponge baths and whirlpool would not be necessary.
Analysis
Planning
Physiological Integrity: Basic Care and Comfort
B)
Involving the family gives them the opportunity to say good-bye and prepares them for the grieving process. The other options aren't realistic; hourly sponge baths and whirlpool would not be necessary.
Analysis
Planning
Physiological Integrity: Basic Care and Comfort
C)
Involving the family gives them the opportunity to say good-bye and prepares them for the grieving process. The other options aren't realistic; hourly sponge baths and whirlpool would not be necessary.
Analysis
Planning
Physiological Integrity: Basic Care and Comfort
D)
Involving the family gives them the opportunity to say good-bye and prepares them for the grieving process. The other options aren't realistic; hourly sponge baths and whirlpool would not be necessary.
Analysis
Planning
Physiological Integrity: Basic Care and Comfort
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The nurse is caring for a client who is having difficulty understanding the wound care dressing changes that need to be completed in the home after discharge
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A) is used to evaluate urinary retention and incontinence. B) can identify types of bladder infections. C) will determine the presence of bladder tumors. D) can evaluate need for urethral surgery.
Raven is undergoing vasodilator therapy to treat chronic heart failure. She often feels nauseous and experiences headache. Her doctor switches her to a different drug hoping that the adverse effects would disappear. However, immediately after the initial administration of the drug, Raven presents with allergic reaction symptoms that resemble angioedema. Which of the following drugs was Raven most likely switched to?
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