A client with ascites and peripheral edema is at risk for impaired skin integrity. To prevent skin breakdown, the nurse should:

a) Use an alternating air pressure mattress.
b) Elevate the lower extremities.
c) Massage the abdomen once a shift.
d) Institute range-of-motion (ROM) exercise every 4 hours.


Ans: a) Use an alternating air pressure mattress.

Nursing

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The nurse is caring for a child diagnosed with pneumonia. Identify the appropriate intervention from those listed below:

a. Limit fluids to decrease fluid in the lungs b. Do not change position frequently so that the child can rest undisturbed c. Provide extra blankets when the child is flushed to prevent shivering d. Give tepid baths to help reduce a high fever

Nursing

A nurse in an outpatient clinic is teaching a client about the criteria for being considered noninfectious. The nurse knows the client has understood the teaching when the client states:

1. "I am considered noninfectious when my white blood cell count is normal." 2. "I am considered noninfectious when my sputum culture and smear are negative." 3. "I am considered noninfectious when my PPD is negative." 4. "I am considered noninfectious when my chest x-ray is clear."

Nursing

Erythromycin is prescribed for a patient with renal insufficiency. The nurse's best action would be to:

1. refuse to give the medication. 2. telephone the physician to question the drug choice. 3. divide the dose and administer the drug more frequently. 4. administer the drug as prescribed.

Nursing

When planning the purchase of new equipment, the nurse manager should include these items into which type of budget?

a. Capital budget b. Personnel budget c. Cash budget d. Operating budget

Nursing