Which is an appropriate intervention for a child with nephrotic syndrome who is edematous?
a. Teach the child to minimize body movements.
b. Change the child's position every 2 hours.
c. Avoid the use of skin lotions.
d. Bathe every other day.
B
Frequent position changes decrease pressure on body parts and help relieve edema in dependent areas. The child with edema is at risk for impaired skin integrity. It is important for the child to change position frequently to prevent skin breakdown. Applying lotion to the skin helps to increase circulation. Bathing daily removes irritating body secretions from the skin.
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A nurse discusses inpatient hospice with a client and the client's family. A family member expresses concern that her loved one will receive only custodial care. How should the nurse respond?
a. "The goal of palliative care is to provide the greatest degree of comfort possible and help the dying person enjoy whatever time is left." b. "Palliative care will release you from the burden of having to care for someone in the home. It does not mean that curative treatment will stop." c. "A palliative care facility is like a nursing home and costs less than a hospital because only pain medications are given." d. "Your relative is unaware of her surroundings and will not notice the difference between her home and a palliative care facility."
Normal findings upon examining the breasts of a patient who has undergone breast augmentation are
a. breast tenderness. b. firm tissue remaining erect when the patient is supine. c. decreased nipple and skin sensation. d. incision sites on the anterior and lateral aspects of the breasts.
Which of the following is an example of case management or would require the expertise of a case manager?
a. A blood pressure screening clinic is started at the senior citizen center. b. A person with multiple chronic illnesses is admitted to the hospital. c. A program is started to address diabetes in the Native American population. d. An initiative is developed to promote fluoride treatments in schools.
The nurse observes that the hand grip of the client with hypophosphatemia has diminished in strength since the last assessment 2 hours ago. What is the nurse's primary intervention?
A. Documents the finding as the only action B. Assesses respiratory status immediately C. Applies elastic wraps to the lower extremities D. Assesses deep tendon reflexes