The nurse plans for the skin care of the patient with ascites, which would include: (Select all that apply.)
a. bathing in tepid water.
b. applying emollients to decrease itching.
c. cutting the patient's fingernails short.
d. changing the patient's position every 1 to 2 hours.
e. coaching in deep-breathing exercises.
A, B, C, D
Deep breathing, although a good intervention in certain situations, has nothing to do with skin care.
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Health care agencies present a mission statement and goals for public review. The nurse would anticipate which of the following as a goal for the agency providing culturally proficient care?
1. To display signs in simple English for clients learning the language 2. To display a sign in the waiting area outlining risks for various cultural groups 3. To sponsor seminars for various cultural groups on health-promotion activities 4. To provide classes in English for clients from another country
An older patient, recovering from surgery, is prescribed a soft diet. The nurse realizes that this diet supports which age-related change?
1. decline in gastric motility 2. reduced intestinal absorption 3. lactose intolerance 4. gall bladder insufficiency
When initiating home healthcare services, during which phase is it appropriate for the nurse to implement the initial patient assessment?
A) Initiation phase B) Previsit phase C) In-home phase D) Termination phase
When a woman who is experiencing a multiple fetal pregnancy asks, "What are the chances of having an uncomplicated pregnancy?" the nurse answers with which statement?
1. The perinatal mortality rate for monoamniotic siblings is 50%. 2. Twins are less likely to have complications than are singleton births. 3. Primiparous women pregnant with twins are less likely to develop complications. 4. Spontaneously conceived twins are less likely to develop complications.