The nurse is planning skin care of the patient with ascites. Which actions should the nurse include? (select all that apply.)
a. Bathe the patient in hot water.
b. Apply emollients to decrease itching.
c. Closely trim the patient's fingernails.
d. Change the patient's position every 1 to 2 hours.
e. Coach the patient in deep-breathing exer-cises.
B, C, D
Applying emollients, cutting the fingernails short, and changing the patient's position frequently are appropriate interventions. The nurse should bathe the patient in tepid water. Deep breathing, although a good intervention in certain situations, has nothing to do with skin care.
You might also like to view...
The nurse is caring for a patient who is suffering from severe depression. How can the nurse best help the patient find meaning in the experience of suffering from mental illness?
1. Suggest answers when the patient questions the meaning of life. 2. Listen and be present when the patient questions the meaning of life. 3. Listen and offer answers when the patient questions the meaning of life. 4. Encourage the patient to discuss well-formulated answers to the meaning of life.
What is the MOST important concern of the nurse caring for a client with decreased range of motion and ambulatory ability?
a. prevention of contractures c. diagnosing locomotion disorders b. assessing crepitus d. assessing synarthrosis
The nurse would determine that a client is having a dysfunctional ventilatory weaning response if the client's respiratory rate rises to
a. 20 breaths per minute. b. 25 breaths per minute. c. 30 breaths per minute. d. 35 breaths per minute.
A nurse is teaching about the area of the spinal cord that contains cell bodies involved in the au-tonomic nervous system. Which of the following areas is the nurse discussing?
a. Anterior horn b. Ventral horn c. Lateral horn d. Dorsal horn