Which of the following statements best reflects the nurse's role in the health and maintenance of a client's skin? (Select all that apply.)
1. "I'll note on the client's care plan to apply lotion to her dry elbows."
2. "I'm on my way in to turn the client. Will you be able to help me?"
3. "The ancillary staff tells me that her skin is generally very dry."
4. "The pressure ulcer on her hip has really gotten smaller."
5. "Can you bring in some scented lotion for your mom?"
6. "A 1.5-cm reddened area noted on client's left heel."
ANS: 1, 2, 4, 6
One of the nurse's most important responsibilities is to monitor skin integrity and to plan, imple-ment, and assess interventions to maintain skin integrity. The remaining options do not reflect nursing interventions—one reflects ancillary staff, and the other does not really mention the therapeutic role of the request.
You might also like to view...
The nurse administering medications to a client is aware that the primary reason that most drugs are administered orally is because the oral route:
a. is best tolerated by clients c. ensures fast drug action b. is most convenient d. is most reliable in terms of onset
During an assessment, the nurse learns that an older patient experiences much stress and feels the heart racing at times. The nurse explains that this is the fight-or-flight response and is associated with which body chemical?
1. Serotonin 2. Dopamine 3. Epinephrine 4. Acetylcholine
A patient diagnosed with a benign brain tumor is scheduled for gamma knife surgery. How would the nurse explain this procedure?
1. "A radioactive seed or capsule will be implanted into the tumor." 2. "A robotic arm device will deliver multiple beams of radiation to the tumor." 3. "This is the traditional method of delivering radiation to a tumor." 4. "The gamma knife is a method of delivering a focused dose of radiation at your tumor."
The nurse knows that patient education about a buccal medication has been effective when the patient states
a. "I should let the medication dissolve completely." b. "I can only drink water, not juice, with this medication." c. "For faster distribution, I should chew my medication first." d. "I should place the medication in the same location."