The nurse is working on a medical-surgical unit that has been participating in a research project associated with pressure ulcers. The nurse recognizes that the risk factors that predispose a patient to pressure ulcer development include
a. A diet low in calories and fat.
b. Alteration in level of consciousness.
c. Shortness of breath.
d. Muscular pain.
B
Patients who are confused or disoriented or who have changing levels of consciousness are unable to protect themselves. The patient may feel the pressure but may not understand what to do to relieve the discomfort or to communicate that he or she is feeling discomfort. Impaired sensory perception, impaired mobility, shear, friction, and moisture are other predisposing factors. Shortness of breath, muscular pain, and a diet low in calories and fat are not included among the predisposing factors.
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A patient asks why all information is being entered into a computer instead of the paper chart. Which response should the nurse make about the electronic health record (EHR)? Select all that apply.
A) Improved billing processes B) Reduced amount of co-pays for office visits. C) Record available when and where needed. D) Increased control over personal health information E) Access by more than one person at any given time.
A patient in her third trimester of pregnancy complains of dizziness and faintness when she lies on her back. Which statement by the nurse is most appropriate?
a. "Don't worry, you don't have long to go until delivery." b. "To improve the symptoms, lie on your left side instead of your back." c. "The symptoms are due to an increase in cardiac output when you lie down." d. "You will sleep more comfortably in a recliner."
________ is useful as a skin cleanser despite its weak activity against gram-negative bacteria.
A. Hexachlorophene B. Povidone-iodine C. Hydrogen peroxide D. Chlorhexidine
The nurse refers a patient for acupuncture. What conditions has acupuncture been shown effective in treating? Select all that apply
1. Personality disorder 2. Insomnia 3. Anxiety 4. Depression 5. Schizophrenia