Which client is at greatest risk for pressure ulcer development?
A. 30-year-old client who uses injection drugs and has pneumonia
B. 50-year-old obese client who requires assistance with ambulation
C. 80-year-old client with hypertension who has no mobility problems
D. 60-year-old confused, incontinent client confined to a chair
D
Although all clients listed above have some increased risk factor for pressure ulcer development, the client who is confused has more factors. This client is confined to a chair and is incontinent, two major risk factors. Because this client is confused, he or she is not likely to be an active partner in prevention strategies. In addition, confused clients frequently have a poor nutritional status.
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The nurse caring for a client with an anxiety disorder knows to be most attentive to the nurse's:
1. Inability to assess the situation accurately. 2. Anxiety causing forgetfulness. 3. Inability to identify personal somatic problems. 4. Own overall feelings.
The "setting sun" sign is observed in which neural tube disorder?
a. Microcephaly c. Encephalocele b. Anencephaly d. Hydrocephaly
The nurse manager is planning a presentation on ethical issues in caring for the childbearing families. Which of the following should the nurse manager include as an example of maternal-fetal conflict?
A. A client chooses an abortion after her fetus is diagnosed with a genetic anomaly. B. A 39-year-old nulliparous client undergoes therapeutic insemination. C. A family of a child with leukemia requests cord blood banking at this birth. D. A cesarean delivery of a breech fetus is court-ordered after the client refuses.
A nurse implements nursing interventions considering the uniqueness of the person's culture. The practice is called cultural:
a. Diversity b. Knowledge c. Competence d. Awareness