The nurse is working on a care area that focuses on tertiary prevention. Which goal is most consistent with this focus?

1. Patients at risk for skin breakdown will be turned every 2 hours.
2. Patients with pressure ulcers will have whirlpool therapy as indicated.
3. Patients will be assessed for factors that place them at risk for skin breakdown.
4. Patients are instructed to change positions in bed every 2 hours to prevent skin breakdown.


2. Patients with pressure ulcers will have whirlpool therapy as indicated.

Explanation: 1. Turning a patient at risk for skin breakdown is an example of a primary prevention goal.
2. Treating a pressure ulcer is an example of a tertiary prevention goal.
3. Assessing a patient at risk for skin breakdown is an example of a primary prevention goal.
4. Teaching a patient how to prevent skin breakdown is an example of a primary prevention goal.

Nursing

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A client who has undergone abdominal surgery is refusing hyromorphone (Dilaudid) because she has heard that people may become addicted. She is crying and rates her pain as 10 of 10

Which of the following statements should the nurse include as part of the patient's education? Select all that apply. 1. Narcotics result in addiction in less than 1% to 3% of patients. 2. Untreated pain can result in poor wound healing. 3. Patients with uncontrolled pain have increased risk of blood clots. 4. Dehydration can result from poorly managed pain. 5. Family members will not want to visit patients with visible signs of pain.

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The nurse administers an IM dose of risperidone (Risperdal) to a client. How long will it be until the nurse will need to administer another dose?

1. 1 day 2. 3 weeks 3. 4–6 weeks 4. 1–2 weeks

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The law requires that a person give voluntary and informed consent for medical treatment. Which of the following statements accurately describes this legal obligation?

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