A client with Hodgkin's disease is at risk for impaired skin integrity due to pruritus. Which of the following interventions should a nurse perform to ensure the client's skin will remain intact throughout the care?
A) Place the client in high Fowler's position.
B) Apply ice to the skin for brief periods.
C) Avoid soap for bathing.
D) Pull the client across sheets when changing positions.
B
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The patient has a pressure ulcer that was classified as a stage III ulcer when identified. With care, the ulcer has partially healed and now appears as an area of nonblanchable erythema with mild edema
What is the most appropriate nursing description? A) Stage I ulcer B) Stage III ulcer, healing C) Stage III to I ulcer D) Stage III ulcer, exacerbated
The nurse is caring for a patient with a fractured right femur who is not a candidate to repair the femur immediately
What intervention should the nurse anticipate the physician will order to relieve muscle spasm and pain until surgery is performed? A) Skeletal traction B) Skin traction C) Open reduction D) External fixator
When planning care for a patient with heart failure, which concept should the nurse keep in mind?
A) The sympathetic nervous system is activated when cardiac output drops. B) The renin-angiotensin-aldosterone system is inhibited when cardiac output drops. C) Heart muscle demonstrates excessive contractility. D) Inflammatory mediators inhibit heart muscle repair and remodeling.
During an admission assessment, the nurse asks a client the meaning of the proverb, "An ounce of prevention is worth a pound of cure." The nurse is assessing the client's what?
A) Abstract reasoning B) Memory C) Concentration D) Orientation