The home health nurse learns that an elderly patient isn't able to get to the grocery store. She doesn't have much food in her home, and eats and drinks little
Most of her time is spent sitting in her chair watching television, often not realizing that she has bladder leakage. Which nursing actions would she implement to reduce the risk of developing a pressure ulcer? Select all that apply.
a. Help her to get out of the chair every 2 hours.
b. Change her clothing frequently.
c. Bath the patient using soap and water.
d. Promote intake of green tea throughout the day.
e. Encourage her to wear incontinence products.
ANS: A, B, E
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The client thinks her nose is so ugly that most people cannot bear to look at her. She often describes herself as ugly. Which condition is the client experiencing?
a. Somatization b. Hypochondriasis c. A conversion reaction d. Body dysmorphic disorder
To induce vasodilation for a client experiencing a Meniere's attack, the nurse should admi-nister which of the following?
A. Nicotinic acid (Niaspan) B. Dimenhydrinate (Dramamine) C. Diphenhydramine (Benadryl) D. Diazepam (Valium)
The nurse is instructing a young woman on her dietary needs for calcium in the prevention of osteoporosis. What food supplies the greatest amount of calcium?
A) Cheese B) Meat C) Cauliflower D) Salad
The nurse determines that the client's wound may be infected. In order to perform an aerobic wound culture, which of the following actions should the nurse take?
a. Collect the superficial drainage. b. Collect the culture before cleansing the wound. c. Obtain a culturette tube and use sterile technique. d. Use the same technique as for collecting an anaerobic culture.