To position a patient with hemiplegia in Fowler's position, the nurse should:
a. elevate the head of the bed 15 to 30 degrees.
b. place the patient in the prone position.
c. position a spastic hand with the fingers extended using hand rolls.
d. position the patient's head with slight hyperextension of the neck.
C
Position a spastic hand with the wrist in neutral position or slightly extended; fingers should be extended with the palm down or may be left in relaxed position with the palm up. Position the patient in supine position. Elevate the head of the bed 45 to 60 degrees. This increases comfort, improves ventilation, and increases the patient's opportunity to relax. Adjust the head of the bed according to the patient's condition. For example, those with increased risk for pressure ulcers will remain at a 30-degree angle. Position the head on a small pillow with the chin slightly forward. If the patient is totally unable to control head movement, avoid hyperextension of the neck. Too many pillows under the head may cause or worsen neck flexion contracture.
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A community/public health nurse needs to conduct a descriptive study of the health needs of elderly persons attending a congregate meal at the local community center. Therefore, the nurse would
a. Divide the elderly population into two groups (healthy and unhealthy), teach courses on healthy lifestyles, and then measure any changes. b. Use two randomly chosen groups, teach healthy lifestyles to all participants, and then determine learning through a posttest. c. Divide the elderly population into two randomly chosen groups, teach healthy lifestyles to one group, and then determine differences in knowledge between the two groups. d. Screen each elderly person and look for patterns in the findings related to health problems that necessitate attention.
Which of these occur during the second stage of the general adaptation syndrome?
a. anxiety coupled with physical manifestations of stress such as nausea and vomiting b. exhaustion due to total depletion of adaptive energy c. fight-or-flight response d. local adaptation syndrome
The nurse is assessing an adult client. Which of the following observations should the nurse include when documenting the general survey of this client? Standard Text: Select all that apply
1. Blood pressure 112/68, pulse 68, 98.6 (F), respiratory rate 16. 2. Thin, well-nourished male client, appears younger than stated age. 3. Client moves about exam room without difficulty. 4. Abdomen flat, nondistended, bowel sounds present, nontender on palpation. 5. Responds appropriately to questions.
A person's type of dress, language, and social relationships pertain to:
1. psychological age. 2. biologic age. 3. chronological age. 4. social age.