When discussing stressors with the primary caregiver of an 83-year-old patient, the nurse explores the issue of dissolving familiar social boundaries when asking
a. "Has it been a problem taking over the role of head of the family?"
b. "What do you do to help relax and revi-talize yourself?"
c. "Do you find it difficult to ask for help when you need it?"
d. "Are there any physical care tasks that you find difficult to complete?"
D
Dissolving familiar social boundaries involves caregivers and older adults sharing intimacies such as toileting, changing briefs, or catheter care, which would otherwise not be shared.
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An 18-month-old child is admitted to the hospital unit for weakness of the lower extremities. Duchenne muscular dystrophy is suspected. Which assessment finding on the admission history and physical is indicative of this disorder?
1. Infant was post-mature by almost two weeks. 2. The child seems very muscular. 3. The child walked early and without support at 10 months. 4. The child's older sister developed scoliosis in the fourth grade.
Heidi, who is a normally proportioned child, weighing 20 kg. BSA = __________ m2
Fill in the blank(s) with correct word
The unconscious patient with a closed head injury is on mechanical ventilation. To improve brain perfusion through increased blood pressure, the CO2 level is maintained at _____ mm Hg
a. 10 to 15 b. 15 to 20 c. 20 to 25 d. 25 to 30
A nurse is providing postmortem care. Which action will the nurse take?
a. Leave dentures in the mouth. b. Lower the head of the bed. c. Cover the body with a sterile sheet. d. Remove all tubes for an autopsy.