The nurse is preparing for the initial placement of an orthotic device onto the patient's lower leg. Which of the following is the priority nursing intervention?
a. Instruct the patient how to care for the orthotic device.
b. Provide patient teaching before ending the visit.
c. Ensure that the orthotic device is free of patient clothing.
d. Obtain a baseline observation of the af-fected skin area.
D
The most important nursing intervention is to obtain a baseline assessment of the area where the orthotic device will be placed. It is important to accomplish this before regular use of the orthotic because a pressure point potentially leads to skin breakdown and can result in patient inability to use the device. Providing patient education on maintaining the device occurs before ending the visit, but the first priority should be to establish the baseline assessment before the initial place-ment.
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The auscultation of bronchophony, egophony, and whispered pectoriloquy provides useful information to determine if the lungs are filled with air or fluid. Which guideline is recommended for examining these voice sounds?
a. Only one of the three techniques needs to be performed, because they all provide the same information. b. All of the techniques need to be included in a comprehensive examination if tactile fremitus has been performed. c. All three techniques should be performed if an abnormality is detected during the general auscultation, percussion, or palpation. d. Two of the three techniques should be performed if an abnormality is detected during the general auscultation, percussion, or palpation.
It would be appropriate for a researcher to test the difference between the means of three groups of students by a t-test for independent samples
A) True B) False
This has been a long ordeal for Mrs. R with many opportunities for her to become discouraged. Try to imagine what it would be like to be her dietitian and to be counseling her through this ordeal. What advice would you give Mrs. R?
The daughter of an 80-year-old Spanish client reports that her mother seems not to understand what the doctor tells her about her disease and the treatment plan. She asks whether an interpreter is present when he talks to her mother
You explain that every attempt to have someone translate information to her mother is being done, but sometimes it is not possible. However, you acknowledge that this may not be effective care for this patient. To meet the national standards for Culturally and Linguistically Appropriate Services (CLAS) in healthcare, the nurse would A) continue to monitor the patient and offer explanations using common symbols. B) report the problem to the doctor. C) revise the plan of care to ensure an interpreter is present at all times. D) ask the daughter to be present whenever anyone speaks to the client.