The nursing assistant is helping a client who has advanced cirrhosis with a bath and other hygiene. Which action by the assistant requires intervention by the registered nurse?
a. Helping the client apply lotion to dry skin areas
b. Giving the client a basin of warm water and soap to use
c. Providing a soft toothbrush for oral care
d. Helping the client keep nails trimmed short
B
Clients with advanced cirrhosis often have pruritus. These clients should use cool, not warm, water on their skin, and should not use excessive amounts of soap. The other actions are appro-priate.
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A 10-year-old child is in the emergency department with burns on her buttocks, the backs of her thighs, and the soles of her feet
The nurse calculates this child's total body surface area (TBSA) burned as ____________________.
A patient with a fractured femur is in balanced suspension traction. The patient needs to be repositioned toward the head of the bed. During repositioning, what should the nurse do?
A) Place slight additional tension on the traction cords. B) Release the weights and replace them immediately after positioning. C) Lift the traction and the patient during repositioning. D) Maintain the same degree of traction tension.
A patient has been exposed to an allergen resulting in a hypersensitivity reaction. The nurse correctly recognizes that which immunoglobulin has been triggered?
a. IgA b. IgB c. IgD d. IgE
Neonates and infants have a decreased metabolism and excretion of drugs because of immaturity of which organs?
a. Lungs and kidneys b. Liver and kidneys c. Spleen and pancreas d. Gastrointestinal tract and kidneys