Bedridden patients are assessed every shift for evidence of impaired skin integrity due to shear and friction. When making this assessment, the nurse should plan to assess the patient's what?
A) Elbows
B) Soles of the feet
C) Heels
D) Knees
Ans: C
Feedback: The coccyx and the heels are the most susceptible areas for skin breakdown due to shear and friction. The other options are incorrect because they would not show evidence of shear and friction.
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When reviewing the literature for relevant research studies, the nurse focuses on studies that form the foundation of evidence-based practice. The nurse is reviewing which type of research design?
A) Quasi-experimental B) Nonexperimental C) Randomized controlled trials D) Descriptive
An older adult resident of a long-term care facility has been experiencing generalized pruritus that has become more severe in recent weeks. What intervention should the nurse add to this resident's plan of care?
A) Avoid the application of skin emollients. B) Apply antibiotic ointment as ordered following baths. C) Avoid using hot water during the patient's baths. D) Administer acetaminophen 4 times daily as ordered.
Which of the following statements made by a nursing student indicates the need for further education about family-focused nursing?
1. "When family members are not well-supported during hospitalization, patients are often readmitted." 2. "Families that are well-supported by nurses during hospitalization are more satisfied with their care." 3. "While the individual patient is the focus during early hospitalization, the family should be included when things stabilize." 4. "When nurses exclude family members from patient care, suffering may be magnified."
The clinic nurse who incorporates a cultural assessment into nursing care discusses topics such as:
Select all answers that apply: A) Customs and traditions B) Financial resources C) Coping strategies D) Physical disabilities