The nurse is aware that which of the following factors influence hygiene practices? (Select all that apply.)
a. body image d. cultural practices
b. health status e. personal preferences
c. knowledge f. risk for injury
A, C, D, E
Hygiene practices are unique to each client. Hygiene practices are influenced by body image, personal preference, cultural and social practices, knowledge, and socioeconomic status.
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One of the major issues facing the critical care nurse today is
A) the nursing shortage. B) an increasingly younger population. C) increasing use of supplemental staff from outside agencies. D) use of unlicensed health care assistants in critical care settings.
A patient with a C5 spinal cord injury is tetraplegic. After being moved out of the ICU, the patient complains of a severe throbbing headache. What should the nurse do first?
A) Check the patient's indwelling urinary catheter for kinks to ensure patency. B) Lower the HOB to improve perfusion. C) Administer analgesia. D) Reassure the patient that headaches are expected after spinal cord injuries.
A patient has lamivudine-sensitive hepatitis B and is taking entecavir (Baraclude) 0.5 mg per day. The nurse reviews the patient's laboratory values and notes a creatinine clearance of 40 mL/min
What will the nurse discuss with the patient's provider? a. Continuing the entecavir at the same dose b. Decreasing the entecavir dose to 0.25 mg per day c. Discontinuing the entecavir and considering dialysis d. Increasing the entecavir dose to 1 mg per day
While palpating the anterior chest, the nurse notes crackling in the skin around the patient's chest tube insertion site. The nurse recognizes this finding is:
a. Tactile fremitus b. Egophony c. Bronchophony d. Crepitus